10 ACOs with the most shared savings in 2020

September 3, 2021Garrett SchmittNo CommentsACOs, bonus payments, CMS, downside risk models, one-sided risk models, performance payments, Shared Savings, two-sided risk models

ACOs participating in the Medicare Shared Savings Program in 2020 earned performance bonuses totaling nearly $2.3 billion and saved Medicare a record $1.9 billion, CMS said Aug. 25. CMS said 345 out of 513 ACOs, or 67 percent, earned shared savings payments in 2020, but the data shows that ACOs participating in downside risk models were more…

RECORDED WEBINAR: Post-Acute Analytics – What’s in It for My ACO?

August 31, 2021Garrett SchmittNo CommentsACO, ACOs, cost of care, hospital readmissions, post-acute analytics, Shared Savings, SNF, SNF networks, SNFs, total cost of care, Webinar, webinars

DOWNLOAD SLIDES Learn about the types of analytics available in post-acute healthcare and how they’re being used by ACOs to: Build and sustain high-performing SNF networks Prevent hospital readmissions and adverse events Reduce total cost of care and Earn more shared savings Speaker: Janine Savage, RN, CHC Vice President, Product Management, Analytics and Business Intelligence…

Medicare ACOs Saved $4.1B in 2020

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

The Medicare Shared Savings Program collectively saved Medicare $4.1 billion last year and $1.9 billion after accounting for shared savings payments. It is the highest annual savings to date for the accountable care organization model that served 10.6 million seniors in 2020. The accountable care organizations had an average quality score of 97.8% and 60…

New bill seeks to reverse slide in ACO participation with more shared savings

July 20, 2021Garrett SchmittNo CommentsACO participation, ACOs, APMs, health legislation, MSSP, news, risk adjustment, Shared Savings, Value in Health Care Act

New bipartisan House legislation aims to boost the amount of shared savings that accountable care organizations can receive from the federal government to halt a slide in participation that has occurred over the past two years. The Value in Health Care Act reintroduced on Tuesday includes new requirements to study health outcomes for Medicare beneficiaries…

What is value-based care?

June 16, 2021Garrett SchmittNo CommentsAPMs, Bundled Payments, Cost Reduction, MIPS, pay for performance, SDOH, shared risk, Shared Savings, value-based care, vbc

Value-based care (VBC) is a crucial step towards improving access, equity, and quality healthcare for Americans. Since the inception of Blue Cross Blue Shield in the 1930s, the US healthcare system has relied primarily on fee-for-service (FFS) payment practices. Essentially, you go to the doctor for a specific need, the doctor serves that specific need,…

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…

How value-based care helped our independent practice survive 2020

April 26, 2021Garrett SchmittNo CommentsCollaboration, COVID-19, independent practice, quality care, Shared Savings, Specialists, Telehealth, vbc, virtual care

When the COVID-19 pandemic began to disrupt daily life in the U.S., many medical practices were left scrambling. Patient volumes plunged immediately, non-urgent care was postponed, and no one was sure exactly how long the shutdowns and mitigation precautions would last. By late April, 97% of practices reported a negative financial impact from the pandemic,…

ACO Partner rewards 148 physicians with $148,000 in shared savings

June 5, 2018Garrett SchmittNo CommentsBCBS, Shared Savings

A unique arrangement between Blue Cross Blue Shield of Arizona and Change Healthcare reported shared savings on Tuesday. The independent, physician-centric accountable care organization called ACO Partner said it is is giving $148,000 to 148 physicians who earned shared savings in the program during the fourth quarter of 2016. Established in 2016, ACO Partner is…

For Ongoing ACO Shared Savings, Look Outside Inpatient, Primary Care

February 27, 2018Garrett SchmittNo CommentsPost Acute, Shared Savings

Seven years have passed since the Affordable Care Act catalyzed the idea of volume over value in the healthcare industry, paving the way for accountable care organizations (ACOs) to accrue shared shavings while focusing on population health. Since that time, the number of ACOs has exploded to over 920 organizations contracted with public and private…

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