ACOs, Population-Based APMs Most Effective at Lowering Costs

November 18, 2020Garrett SchmittNo CommentsNAACOS, pathways, Pathways to Success

If CMS aims to lower healthcare costs and improve quality, then the agency should use more population-based alternative payment models, like accountable care organizations (ACOs), according to a new analysis. The analysis of the evaluations for more than a dozen CMS value-based initiatives over the past eight years showed that no other alternative payment model came…

Understanding The Latest ACO “Savings”: Curb Your Enthusiasm And Sharpen Your Pencils—Part 1

November 12, 2020Garrett SchmittNo CommentsMACRA, pathways, Pathways to Success

In a recent post, the administrator of the Centers for Medicare and Medicaid Services (CMS) reported that the Medicare Shared Savings Program (MSSP) generated $2.6 billion in gross savings in 2019 and $1.2 billion in net savings after accounting for shared-savings payments to participating accountable care organizations (ACOs). Achieving this level of savings would constitute remarkable…

How ACOs In Rural And Underserved Areas Responded To Medicare’s ACO Investment Model

November 10, 2020Garrett SchmittNo CommentsMIPS, pathways, Pathways to Success

Implementation of accountable care organizations (ACOs) has been occurring unevenly across the nation, with rural areas lagging behind their more urban counterparts in ACO establishment (for example, see here, here, and here). To help establish ACOs in more areas of the country, the Centers for Medicare and Medicaid Services (CMS) developed the ACO Investment Model (AIM) to provide participating ACOs…

How Top Accountable Care Organizations Save Year After Year

September 25, 2020Garrett SchmittNo Commentspathways, Pathways to Success

Accountable care organizations had a record year, according to the latest performance data for the Medicare Shared Savings Program. CMS recently announced that organizations participating in the program – which are otherwise known as ACOs – saved Medicare nearly $1.2 billion in 2019 while maintaining a high level of care quality as measured by longstanding program metrics….

Risky Business: ACO checklist for 2020 includes embracing new payment models and physician re-engagement

January 3, 2020Garrett SchmittNo CommentsMA, medical advantage, pathways, Pathways to Success

The term accountable care organization (ACO) dates back to at least 2006. The Affordable Care Act then made ACOs a fast-growing trend thanks to the Centers for Medicare and Medicaid Services (CMS) launching its Shared Savings Program in 2012. Since then, ACOs have been at the forefront of the value-based care model transition, taking incremental steps…

Interest In ‘Pathways To Success’ Grows: 2018 ACO Results Show Trends Supporting Program Redesign Continue

September 30, 2019Garrett SchmittNo Commentspathways, Pathways to Success, Seema Verma

With Medicare’s main trust fund projected to run out in just seven years, the Trump Administration is working hard to lower health care costs and increase quality to protect the Medicare program for all Americans who depend on it. The Medicare Shared Savings Program (Shared Savings Program), established by Congress, promotes accountability for a patient…

RECORDED WEBINAR: Pathways to Success: Medicare ACO Final Rule

January 4, 2019Garrett SchmittNo CommentsACO, ACOs, pathways, Pathways to Success, Webinar, webinars

 Download Pathways to Success Planning Matrix Download Slide Deck Covered in this 60 minute webinar: NOIA & Application Timeline Pathways to Success – overview Alex Azar & Seema Verma on risk ACO Alternatives How to achieve Shared Savings and more….

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RECORDED WEBINAR: Pathways to Success: Medicare ACO Final Rule
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