Doctors in accountable care organizations (ACOs), and those thinking of starting or joining one, have had their hands full keeping up with changes in the way Medicare is administering them. ACOs are groups of doctors, hospitals, and/or other healthcare providers that work together with a goal of providing better care at lower cost. As part…
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)…
Although Next Generation ACOs have performed well in their first year, health IT challenges like interoperability may be standing in their way of achieving greater success, according to a CMS evaluation prepared by NORC at the University of Chicago. CMS launched the Next Generation ACO models in 2016 under the vision that providing strong financial…
The first cohort of accountable care organizations (ACOs) in the Next Generation model generated net savings to Medicare of approximately $62 million while maintaining quality of care for beneficiaries for the 2016 performance year, according to a new evaluation report released by the Centers for Medicare & Medicaid Services (CMS). The report was prepared by…
UnityPoint Health’s participation in the initial rollout of CMS’ Next Generation ACO Model helped them succeed beyond their expectations in their transition to reimbursement risk. In performance year 1 (2016), UnityPoint’s 85,000-member Iowa Health ACO earned more than $10.5 million in shared savings. Like most health systems, UnityPoint still gets more revenue from fee-for-service than…