The Centers for Medicare and Medicaid Services alternative payment models have found immediate difficulty navigating the COVID-19 pandemic with limited resources and occasionally difficult reporting requirements, but the issues between participants in these payment models and the structures of them actually go much further back than the...Arizona News
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...
Accountable Care Organizations (ACO) are groups of providers, hospitals, clinics, specialists and other providers who voluntarily coordinate to offer high quality care to Medicare beneficiaries. The most popular payment model administered by the Centers for Medicare and Medicaid Services is known as the Medicare Shared Savings Program...
A members-only resource including nearly 20 pages of data and insight into Arizona's current ACO and value-based network market activity.
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Smaller, physician-led Accountable Care Organizations (ACO) have shown they can cut costs and improve care, but risk limitations due to narrow capital and cost benchmarks present major roadblocks to success under the latest Medicare Shared Savings Program (MSSP) regulations.
A recent report published by the Duke-Margolis Health...Arizona News
After rebranding the MSSP to the Pathways to Savings in 2018, CMS reported about 11.2 million Medicare beneficiaries are now served by 517 ACOs participating in the shared savings program, and 200 are taking downside risk.
Only 35 new ACOs joined the revamped Medicare Shared Savings Program (MSSP) in 2020, far below the annual...Arizona News
In 2018, more than 200,000 Arizona Medicare beneficiaries received care through 13 Accountable Care Organizations (ACOs), which in turn reported total savings of nearly $41.5 million.
Recent CMS 2018 performance results report nearly half of Arizona ACOs collected shared savings totaling more than $25 million. Quality scores ranged...National News
Accountable Care Organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP) Pathways to Success program as of July 1 were concerned about complying with federal guidelines mandating each Medicare beneficiary receive a notice that their PCP participates in the ACO prior to their first primary care visit.
The...National News
This week the Office of Inspector General (OIG) report describes the strategies ACOs have found successful in reducing spending and improving quality of care and argues that such strategies should inform the newly branded Pathways to Success program.
The Centers for Medicare & Medicaid Services (CMS) must get better at sharing ACO...National News
The Centers for Medicare & Medicaid Services (CMS) announced that 518 ACOs are approved to participate in the newly branded Medicare MSSP, Pathways to Success program July 1; just 40 are new to the program, less than the more than 100 new ACOs the program averaged in its first seven years.
The MSSP is the largest value-based...Arizona News
A who's who in healthcare advocacy is putting pressure on the Department of Health and Human Services to expand the duration and scope of the Next Generation ACO model to be a permanent, voluntary offering in the alternative payment model portfolio in 2021.The model is set to expire in 2020 and was launched by CMS' Center for Medicare...Arizona News
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...National News
In a new proposed rule, the Medicare Shared Savings Program redesigns the participation options for the majority of accountable care organizations (ACOs) to encourage a speedier transition to risk bearing tracks, currently Track 1 participants bear no risk and may remain on the track for six years.
The Trump Administration has...