Join us for The Hertel Report's Winter State of the State on Friday, February 13, 2026, featuring our bi-annual Arizona healthcare market update hosted and moderated by Publisher Jim Hammond.
The Hertel Report’s 2026 Winter State of the State Conference features a morning of networking, a full breakfast, and timely insights on...
Banner Health Network, one of the nation's earliest MSSPs, led Arizona ACOs by earning nearly $21 million in shared savings as Arizona Care Network and Scottsdale Health Partners reported nearly $4 million in shared losses in 2024.
CMS reported late last week that for Performance Year 2024, Medicare’s Shared Savings Program...
According to Milliman actuaries, the significant financial updates to the ACO REACH model for Performance Year 2026 announced in May signal CMMI’s growing concern over increased spending within the model and a pivot toward its broader strategic goals. The firm analyzes each policy change and estimates its financial impact.
Laid out...
The future of healthcare is clear: value-based care and advanced payment models are here to stay. Arizona’s ACOs are not just participating in this transformation—they are leading it. Their work in the Medicare Shared Savings Program (MSSP) and ACO REACH is shaping models that will extend beyond Medicare into Medicaid, Medicare...
Last week the Centers for Medicare and Medicaid Services released the names and benefit parameters of 2024 REACH ACO organizations serving millions of Medicare beneficiaries. REACH ACOs select from one of two risk options; most (103 ACOs) chose Global (100% risk for shared savings/losses) and 19 ACOs selected Professional (50% risk for...
With nearly 50 organizations claiming ACO status in Arizona, the market for value-based payment arrangements is accelerating, Medicare is saving and ACO profits are growing within the Medicare Shared Savings Program (MSSP) and the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model.
In 2022...
Late last month, The Centers for Medicare and Medicaid Services (CMS) reported about 18,000 Arizona Medicare beneficiaries were aligned across more than a dozen REACH ACOs listed in the state in 2021; the majority earned shared savings - impressive numbers from Oak Street, Humana, and Iora Health and significant losses from Clover...
The partnership kicks off in the New Year, Jan. 1, 2023, and is expected to bring improved patient and provider services to PathfinderHealth primary care practices in northern Arizona, and help PathfinderHealth, a clinically integrated network and accountable care organization (ACO), navigate the transformation to value-based healthcare...Arizona News
The majority of Accountable Care Organizations participating in the Medicare Shared Savings Program in Arizona brought home shared savings in 2021. The biggest local earner: Banner Health Network ($26M). Other local ACOs that earned shared savings from the Centers for Medicare & Medicaid Services include North Central Arizona...Arizona News
The Center for Medicare and Medicaid Innovation (Innovation Center) announced the provisional acceptance of 110 Accountable Care Organizations (ACOs) applications to the ACO REACH model. We have identified seven ACOs that made the provisional list to operate in Arizona. Four REACH ACOs are already operating in the state as part of the...Arizona News
The transaction also includes contingent additional payments of up to $50 million based on the future performance of Caravan, a current partner in value-based arrangements for two Arizona Accountable Care Organizations, Pathfinder Health and Summit Healthcare. Early this month, Caravan announced it was expanding its footprint in the...
Today, the Centers for Medicare & Medicaid Services (CMS) released data showing that Accountable Care Organizations (ACOs) are serving a growing patient population as accountable care advocates wait to see what participation is like in the new Direct Contracting Model.
According to CMS, 13 Accountable Care Organizations (ACOs)...
Accountable Care Organizations (ACOs) served 12.1 million Medicare fee-for-service beneficiaries and saved the nation's biggest payer about $1.9 billion in 2020, the fourth year of net savings. In Arizona, 11 ACOs participated in the Medicare Shared Savings Program (MSSP) taking on a mix of one-sided and two-sided risk, but only six...
Across 21 pages you'll find everything you need to know about the value-based payment arrangements thriving in Arizona healthcare; the latest reporting on ACO MSSP 2019 performance results and the Next Generation program along with important fast facts on APMs and value-based networks working with local AHCCCS, Medicare Advantage and...
Nine of the 10 ACOs serving about 228,000 Medicare beneficiaries in Arizona earned nearly $40M in shared savings in 2019; Innovation Care Partners took home a lot of it, earning $14.5 million.
After missing savings targets in 2018, Arizona Connected Care and North Central Arizona Accountable Care appear as winners on the 2019...
Critics say the quick turnaround for applications after the program's recent overhaul to greater risk is cause for concern and are advocating CMS extend its application window and push back the deadline.
The National Association of ACOs (NAACOS) and America's Physician Groups (APG) both complain ACOs are still responding to the...Arizona News
The accountable care organization is using the lower-risk track as a training ground for its next generation, higher risk track that now serves 25,000 Medicare beneficiaries.
Last week, the Centers for Medicare & Medicaid proposed to phase out Track 1, Track 1+ and Track 2, condensing the Medicare Shared Savings Program (MSSP) to...
