Medicare accountable care organizations (ACOs) are likely to face an imminent overhaul, according to former leaders of the program.
Nancy-Ann DeParle, partner with Consonance Capital and formerly acting administrator of the predecessor agency to the Centers for Medicare & Medicaid Services (CMS) before serving as an Obama White House senior healthcare adviser, said CMS is likely to move away from upside-only ACOs.
“For ACOs to really achieve their full potential, groups need to go to risk,” DeParle said in an interview. “Six years is a long time” for upside-only models.
Leslie V. Norwalk, strategic counsel with Epstein Becker Green and formerly acting administrator of CMS for President George W. Bush, said ACOs have helped improved quality, “but the outlays are higher.”