Clinicians seek more time in risk-free ACO track

February 27, 2018Garrett SchmittNo CommentsDownside Risk, Medicare, Medicare Shared Savings Program, MSSP, Risk

Dive Brief: Provider organizations are urging CMS to allow Medicare accountable care organizations (ACOs) to continue for three more years without taking on financial risk. Under the Medicare Shared Savings Program (MSSP), ACOs that began in 2012 or 2013 face their third contract period in 2019 and will have to move from Track 1 to…

ACOs to CMS: “We’re Not Yet Prepared for Two-Sided Risk”

February 27, 2018Garrett SchmittNo CommentsDownside Risk, Risk

The National Association of ACOs, the American Medical Association (AMA) and others have jointly signed a letter requesting that CMS (the Centers for Medicare & Medicaid Services) allow certain ACOs to continue in the Medicare Shared Savings Program (MSSP) Track 1 for a third agreement period before having to move to a two-sided risk model….

Medicaid ACOs Experiment with Social Determinant Requirements

February 15, 2018Garrett SchmittNo CommentsRisk, risk management, socail determinant

State governments are experimenting with requirements and incentives for Medicaid accountable care organizations to address social determinants of health. Government executives say Medicaid ACO programs offer several key leverage points for addressing disparities and social determinants, including partnership and care management requirements, quality metrics and financial incentives. Here are some examples of efforts under way:…

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…

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