Next Generation ACO Model Has Saved Medicare $667M, So Far

October 21, 2021Garrett SchmittNo CommentsACO, ACOs, alternative payment models, APMs, CMS, Medicare, Medicare savings, Next Gen, Next Generation, Next Generation ACOs, Next Generation model

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…

What ACOs should do now that CMS won’t extend the Next Gen ACO model through 2022

August 23, 2021Garrett SchmittNo Commentsaccountable care, ACO, ACOs, CMS, Next Gen, Next Generation, Next Generation ACOs, Next Generation model

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 Leveraging Home Health to Achieve ACO Success, Lower Total Cost of Care

July 21, 2021Garrett SchmittNo CommentsACOs, Next Generation ACOs, Southwestern Health Resources, SWHR, total cost of care, value-based care, vbc

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…

Value-Based Contracting 101: Preparing, Negotiating, and Succeeding

June 1, 2021Garrett SchmittNo Commentscontracting, Fee for service, MSSP, negotiating, negotiations, Next Generation ACOs, payer-provider collaboration, Payers, Physician Engagement, Value based contracts, value-based care

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

May 21, 2021Garrett SchmittNo CommentsCMS, Global and Professional Direct Contracting Model, GPDC, Next Generation, Next Generation ACOs

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…

In Providers’ Words: What’s Working and What’s Not in Value-Based Care Today

April 27, 2021Garrett SchmittNo CommentsACOs, APMs, benchmarks, care coordination, CIN, CMS, congress, evidence-based care, FFS, Integrated Health Partners, legislature, MACRA, MIPS, Next Generation ACOs, Payers, SNFs, specialist incentives, Telehealth, vbc

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…

Why ACOs Need A New Playbook

April 14, 2021Garrett SchmittNo CommentsACA, CMS, COVID-19, direct contracting, Medicare Advantage, MedPAC, MSSPs, Next Generation ACOs, Primary Care First, vbc

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…

To Sustain The Value Movement, Make Next Generation ACOs A Permanent Option

April 9, 2021Garrett SchmittNo CommentsCMS Innovation Center, COVID-19, full risk, Medicare, MSSP ENHANCED, Next Generation ACOs, Pathways to Success, Performance, value based

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…

To Sustain The Value Movement, Make Next Generation ACOs A Permanent Option

April 9, 2021Garrett SchmittNo CommentsCMS, full-risk ACOs, MSSPs, Next Generation, Next Generation ACOs

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…

Ten Next Generation ACO Fast Facts

September 7, 2018Garrett SchmittNo CommentsNext Generation, Next Generation ACOs, Nextgen

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)…

Posts navigation

1 2 >

Recent Posts

  • Three Lies And A Truth About ACO Data For APP Reporting
  • CMS Execs Describe ‘Universal Foundation’ to Align Quality Measures
  • RECORDED WEBINAR: Closing the Gaps: The REACH Model, Population Health, and the Diabetic Eye Exam
  • Building Relationships to Improve Access to Healthcare, Improve Health Equity
  • Considering Disability in Social Determinants of Health Referrals
 
  • Main Lobby
  • Exhibit Hall
  • Events
  • Exhibit With Us
  • Board Room
  • Library
  • Contact Us