CMS targets reforms to benchmarks to kick-start flat ACO participation

April 28, 2022Garrett SchmittACO, ACOs, MSSP

The Biden administration wants to change how benchmark payments to accountable care organizations are calculated to make it easier for providers in the Medicare Shared Savings Program (MSSP) to qualify for savings. Leaders in the Centers for Medicare & Medicaid Services (CMS) outlined several changes they are pursuing to get more providers involved in value-based…

Low Medicare ACO participation in 2022 bodes poorly for ambitious Biden goal

February 7, 2022Garrett SchmittACOs, Medicare, MSSP

On the heels of several years of declining or flat accountable care organization (ACO) growth in the Medicare Shared Savings Program (MSSP), 2022 only saw a modest increase in participation, with 483 ACOs partaking. The current numbers do not bode well in terms of meeting the Biden administration’s goal of having every traditional Medicare patient…

CMS: More patients treated by ACOs

February 7, 2022Garrett SchmittACOs, Medicare, MSSP

The Centers for Medicare & Medicaid Services (CMS) has announced that 11 million patients with Medicare will be treated by Shared Savings Program Accountable Care Organizations (ACOs) in 2022. According to a news release, the announcement came as part of the agency’s annual summary of the Medicare Shared Saving Program; Medicare’s national ACO program. “With…

Prevention suffers when doctors drop out of Medicare’s ACO program

February 3, 2022Garrett SchmittACOs, Medicare, MSSP, physicians

For 10 years, the agency that runs Medicare has offered doctors and their practices extra money if they joined groups called Accountable Care Organizations and improved the quality of care they provided to older patients covered by traditional Medicare, while also focusing on the cost of their care. But a new study finds that those…

ACO Groups Disappointed With Results for Medicare ‘Shared Savings’ Program

February 1, 2022Garrett SchmittACO, ACOs, CMS, Medicare, Medicare Shared Savings Program, MSSP

Are 66 new accountable care organizations (ACOs) in a year a sign of progress or a disappointing result? That depends on who you ask. CMS announced last week that 66 additional ACOs joined the Medicare Shared Savings Program (MSSP) for ACOs in 2022, bringing the total up to 483 ACOs. However, that number is only…

More Beneficiaries, But Fewer ACOs for Medicare Shared Savings Program

January 27, 2022Garrett SchmittACOs, Medicare, MSSP

Accountable care organizations (ACOs) in the Medicare Shared Savings Program will care for more beneficiaries in 2022, making it the largest alternative payment model in Medicare despite lackluster ACO participation numbers this year, according to new program data from CMS. Over 11 million Medicare beneficiaries will be attributed to a provider practicing as part of…

Medicare Shared Savings ACO participation grows slightly for 2022

January 26, 2022Garrett Schmittaccountable care, ACOs, Medicare, Medicare Shared Savings Program, MSSP

More Medicare beneficiaries will receive care from providers in Medicare Shared Savings Program accountable care organizations this year, but the number is still lower than it was in 2020, new data show. Nearly 1 in 5 Medicare enrollees will be treated by Shared Savings Program ACO providers this year, a slight increase from 2021 but lower…

Downside Risk Pays Off: 4 Best Practices for High ACO Performance

October 19, 2021Garrett SchmittNo CommentsACO performance, ACO success, ACOs, CMS, Data, data aggregation, Downside Risk, Medicare, Medicare Shared Savings Program, MSSP, Patient Engagement, performance monitoring, population stratification, Risk

The Medicare Shared Savings Program, the accountable care organization (ACO) model that served 10.6 million seniors in 2020, collectively saved Medicare $4.1 billion last year, and $1.9 billion after accounting for shared savings payments, according to the National Association of ACOs and as recently published in Healthcare Finance. 513 ACOs participated in the Shared Savings Program in 2020, down…

The Medicare Shared Savings Program In 2020: Positive Movement (And Uncertainty) During A Pandemic

October 14, 2021Garrett SchmittNo CommentsCoronavirus, COVID-19, COVID-19 pandemic, Medicare, MSSP, pandemic

On August 25, the Centers for Medicare and Medicaid Services (CMS) released performance results for the eighth performance year (2020) of the Medicare Shared Savings Program(MSSP). The results for this year need to be interpreted carefully given that the majority of the performance year occurred during the global COVID-19 pandemic. As a result of the pandemic,…

Physician groups warn nearly 10% in Medicare cuts could stall shift to value-based care, force staff cuts

October 13, 2021Garrett SchmittNo CommentsAmerican Medical Group Association, AMGA, healthcare reform, Medicare, MSSP, physicians, value-based care, vbc

Several medical groups say a new round of cuts to Medicare payments set to go into effect in 2022 will derail their move to value-based care and impact hiring of new staff. Medical groups spoke about the need for Congress to avert a series of cuts during a briefing on Tuesday sponsored by the American…

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