Seven ACOs drop out of Next Generation program but don’t say why

March 26, 2018Garrett SchmittNo CommentsNext Generation

Seven accountable care organizations have left Next Generation, Medicare’s highest-risk program that qualifies as an advanced alternative payment model under MACRA. In January, the Centers for Medicare and Medicaid Services announced 58 ACOs had joined Next Gen for 2018, an increase from the estimated 28 that took part during the first year in 2016 and…

CMS Next Generation ACO changes prompt early exits, potential lawsuit

March 22, 2018Garrett SchmittNo CommentsNext Generation

The departure of seven accountable care organizations from CMS’ Next Generation ACO Model program will likely not threaten the viability of the program, but the reasons behind the early exit are costing providers millions. The Accountable Care Coalition of Chesapeake, Allina Health, Fairview Health Services, KentuckyOne Health, Lifeprint ACO, MemorialCare and Sharp HealthCare have left…

The downside risk cliff: What the 82 ACOs about to be forced into downside risk should do right now

February 2, 2018Garrett SchmittNo CommentsDownside Risk, Next Generation, Risk

With last month’s addition of 17 new organizations to the Next Generation ACO program, 26% of all Medicare ACOs now participate in a downside-risk model (including the Medicare Shared Savings Program’s (MSSP) Track 1+, Track 2, and Track 3), up from 17% in 2017. While 2018 is shaping up to be a big year for…

17 ACOs join CMS’ Next Generation model

January 24, 2018Garrett SchmittNo CommentsCMS, Medicare, Next Generation

There are 58 ACOs in CMS’ Next Generation model for 2018, including 17 new participants, CMS data shows. Most ACOs participating in the Next Generation model are veterans of the Medicare Shared Savings Program and the Pioneer ACO Model. This year, five of the Next Generation ACOs are new to ACO programs, as pointed out…

Pioneer, Next Generation ACOs saved Medicare millions

October 17, 2017Garrett SchmittNo CommentsMedicare, Next Generation, Pioneer

The Pioneer accountable care organization model may have had its share of troubles over the five years of its existence, but the latest data from the Centers for Medicare & Medicaid Services shows that the eight remaining participants generated savings in the final year of the program. CMS last week quietly released (Excel download) the 2016…

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