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New ACO Playbook: Seven Keys To Expanding ACO Savings—And Market Share

October 6, 2021Garrett SchmittNo CommentsACO, ACO savings, ACOs, behavioral heath services, chronic disease, cost drivers, cost variations, market share, patient episode analytics, patient outcomes, Population Health, Risk, savings, specialty care models, treatments

At the beginning of this series, we laid out a basic tenet: As shared savings plan ACOs, you need to do as well or better at lowering costs than competing value-based payment models. Otherwise, your resources and support will dwindle in favor of more promising avenues to control Medicare spending, and competition will stifle your…

Medicare ACO Savings Increased to $4.1B in 2020

August 26, 2021Garrett SchmittNo CommentsACOs, Medicare, Medicare ACOs, savings

Medicare ACO savings hit a record high, with accountable care organizations collectively saving Medicare $4.1 billion in 2020, according to a new report. The total savings, along with the $1.9 billion in net savings after accounting for shared savings payments, made 2020 the best year yet for the Medicare Shared Savings Program, report author National Association…

ACOs generated $4.1B in gross savings in 2020, nearly double 2019 amount

August 25, 2021Garrett SchmittNo CommentsACOs, Medicare, Medicare Shared Savings Program, MSSP, savings

Accountable care organizations saved Medicare $4.1 billion in 2020 and nearly $2 billion after taking out shared savings, according to new federal data. The data, announced Wednesday by the National Association for Accountable Care Organizations (NAACOS), are an improvement over the $2.6 billion in shared savings they generated in 2019 and $1.9 billion after taking…

3 Strategies To Push ACO Savings Beyond Coordination of Care Limits

July 25, 2021Garrett SchmittNo CommentsACOs, care coordination, coordination of care, savings

Will accountable care organizations (ACOs) be the value-based payment model of the future?That depends. As the value-based care market has changed, ACO numbers have dropped and competitive payment models have attracted medical groups. ACOs need to prove that the shared savings model can increase historical savings and retain provider participation. And they may have limited…

Profiling ACO Success: What Drives High Performance in the Medicare Shared Savings Program?

May 3, 2021Garrett SchmittNo CommentsACOs, ACP, AWVs, Care Management, CMS, E&M, ED admissions, expenditures, IP admissions, MSSP, savings, SNFs, TCM, Transition of care

The Medicare Shared Savings Program (MSSP) is the largest value based care program from the Center for Medicare & Medicaid Services (CMS) to date. Since its inception in 2012, Accountable Care Organization (ACO) participation has doubled; providing care to over 10 million beneficiaries, generating $1.94 billion in total savings, and earning over $1.47 billion in…

New ACO Playbook: Can Coordination Of Care Save Enough Money To Save ACOs?

April 29, 2021Garrett SchmittNo CommentsACOs, care coordination, care plans, care teams, CMS, CMS Innovation Center, coordination of care, data organization, direct contracting, Medicare, organization of care, Primary Care First, savings, Shared Savings, vbc

Central to the controversy about ACOs’ potential for Value-Based Care is whether they actually save enough money and reduce costs fast enough. Researchers and advocates have produced various independent studies of ACO savings, the most generous estimating $1.8 billion in cumulative savings over the first three years of the program, almost double CMS estimates. Many…