Download Slides Has your Medicare Shared Savings Program (MSSP) ACO taken full advantage of the many waivers of federal fraud and abuse laws, such as the Stark Law and the Anti-Kickback Statute? During the webinar we will discuss the different types of waivers, what they are, which ones matter to you, how to use…
Dive Brief: Accountable care organizations are less likely to leave the Medicare Shared Savings Program after their third year in the program, according to a new study published in the May issue of Health Affairs. Some 30% of all MSSP ACOs exited within the first five years of the program, mostly midcontract, the study found. Of that,…
Embraced by some provider groups and disparaged by others, CMS’s five new payment models for practices focused on primary care include much to consider. All reflect a key departure of Medicare’s Value-Based Health Care (VBHC) efforts to date: they are direct efforts by Medicare to transition physician practice revenues to risk without the necessity of…
Within the next three years, nearly half of employers plan on implementing high-performance networks (HPN), centers of excellence (COE), onsite or nearby health centers and accountable care organizations (ACO) as ways to provide quality and affordable healthcare options, according to a Willis Towers Watson (WTW) survey released Wednesday morning. Eighty percent of respondents intend on…
Medicaid accountable care organizations (ACOs) have not grown as quickly as industry experts anticipated, according to a new report from Leavitt Partners. ACOs with at least one Medicaid contract accounted for just eight percent of all ACOs by the end of 2018, the healthcare intelligence business found using ACO data from their Torch Insight database. In other…
Three of the national associations most fully involved in helping their member provider organizations move forward into accountable care organization (ACO) development and value-based contracting released a joint statement on Tuesday asking federal healthcare officials to make the Next Generation ACO model a permanent part of the Medicare Shared Savings Program. America’s Physician Groups (APG),…
Accountable care organizations are more likely to stay in the Medicare Shared Savings Program if they achieve bonuses, even if it’s just once, according to a new study. The analysis, published Monday in Health Affairs, found that the risk of an ACO leaving the Medicare program is cut by more than three-quarters if they receive…
The decision about whether to participate in the Centers for Medicare and Medicaid Services’ (CMS’s) new Medicare Shared Savings Program (MSSP), Pathways to Success, is complicated. It requires a detailed understanding of the rules of the program, your patient population, as well as your level of maturity with several key population-management capabilities (e.g., care management,…
At the 16th annual World Health Care Congress that took place in Washington, D.C., healthcare payer and provider executives held dynamic discussions on the move toward value-based care while emphasizing that transformation will be needed at all levels—clinically, operationally, and culturally. Across two robust conference panel discussions on April 29, industry leaders offered their varying perspectives on the…
As some accountable care organizations struggle to succeed in quality measurements and others look to further improve their metrics, a panel of leading accountable care organizations (ACOs) shared lessons learned and best practices for ensuring compliance with quality measures while keeping the patient at the forefront during a session at the National Association of ACOs….
Providers and analysts are calling new value-based physician payment models announced last week by the CMS game-changers, potentially signaling a new era in which many providers are taking on downside risk and responsibility for total cost of care. The five new voluntary payment models, which are available under the Primary Care First heading through the CMS Center…
Just over half of accountable care organizations (ACOs) said they would consider leaving the Medicare Shared Savings Program (MSSP) if required to take on more downside risk, revealed a study published in Health Affairs. Thirty-two percent of ACOs said they are extremely or very likely to leave, and 19 percent believe they are moderately likely to leave. In…
