The Next Generation Accountable Care Organization (ACO) Model has saved Medicare millions of dollars over the past four performance years. But with one more year to go due to the COVID-19 pandemic, the Model is actually operating at a loss. Next Generation ACOs have saved Medicare nearly $667 million thanks to reductions in Parts A…
Accountable care organizations (ACOs) were understandably disappointed in mid-May when the Centers for Medicare and Medicaid Services (CMS) announced that its Next Generation ACO Model would not be extended into 2022. Launched in 2016, the CMS model provides experienced ACOs with a way to assume higher financial risks and rewards offered through the Medicare Shared…
Southwestern Health Resources (SWHR) is an integrated health care network formed in 2015 with the purpose of filling gaps in care. It’s also part of one of the top Next Generation Accountable Care Organizations (ACOs) in the nation. Having an unwavering commitment to lowering “total cost of care” has been a main factor in that…
The Triple Aim. The Quadruple Aim. Right care at the right place at the right time. Whether one works in a hospital or small independent practice, healthcare providers are leaning on these concepts to deliver valuable care to their patients, and that is in its simplest form: care that results in the best patient outcomes…
CMS won’t extend the Next Generation ACO Model through 2022 but will allow participants to apply for the standard track of its Global and Professional Direct Contracting Model, the agency said in a letter to Next Gens on Friday. The American Hospital Association, National Association of Accountable Care Organizations and other provider groups had lobbied…
Earlier this month, Premier hosted a panel on value-based care (VBC), with providers from across the healthcare continuum discussing its merits and pitfalls. In attendance were members of Congress and their staffers to hear how precisely VBC has been effective and policy changes needed to continue its forward progress. One message came through above all…
A lot has happened in health care since 2012, when final rules permitted provider-organized ACOs to be the driving force of Value-Based Care under the 2010 Affordable Care Act (ACA). As we pass the ACA’s eleventh anniversary, a dwindling number of Medicare Shared Savings Program (MSSP) ACOs are entering a new phase marked by higher…
The goal of the value movement is to incentivize providers to move away from the traditional fee-for-service model and provide coordinated care for patients with an eye toward improving quality and reducing cost. One key mechanism to achieve this goal is accountable care organization (ACO) models that—because they are offered along a continuum of varying…
The goal of the value movement is to incentivize providers to move away from the traditional fee-for-service model and provide coordinated care for patients with an eye toward improving quality and reducing cost. One key mechanism to achieve this goal is accountable care organization (ACO) models that—because they are offered along a continuum of varying…
There were 18 active NGACOs in 2016, with 15 having prior Medicare ACO experience These 18 NGACOs served 477,197 beneficiaries, with 31,070 network providers and 775 network facilities In aggregate, NGACOs served three percent of total Medicare beneficiaries in all markets On average, a 2016 NGACO served about 26,500 aligned beneficiaries (median of 24,219 beneficiaries)…