Value Based Payment

Will New ACO Findings Save Upside-Only Models?

Sept. 11—A new analysis joins other research in reaching new conclusions about the extent of savings that accountable care organizations (ACOs)—especially upside-only models—provide Medicare. It’s a data battle that could determine whether many ACOs continue.

Rich Daly September 12, 2018

MSSP ACOs Save $314 Million, As Changes Loom

Aug. 31—Medicare’s main group of accountable care organizations (ACOs) delivered big 2017 savings. Will that affect the program’s fate?

Rich Daly September 4, 2018

Sept. 3-6: Deadline Coming for Latest CMMI Model, With More Options Ahead

Aug. 30—Even as physicians ponder joining a new Medicare Advantage (MA) payment model before next week’s deadline, they should expect more options in the coming months, according to the leader responsible for generating such arrangements.

Rich Daly August 31, 2018

Next Gen ACO Savings Could Bolster Medicare ACO Changes

Aug. 27—The most advanced Medicare accountable care organizations (ACOs) saved $100 million in their first year, according to a new report. And such savings could bolster Medicare’s proposed transition to greater risk for other ACOs, some industry watchers said.

Rich Daly August 28, 2018

Even Successful Medicare ACOs Lose Money: Analysis

Aug. 22—Accountable care organizations (ACOs) that succeeded in earning bonuses from Medicare garnered less revenue than they would have under the fee-for-service (FFS) payment system, a recent analysis found.

Rich Daly August 23, 2018

A Push to Streamline Value-Based Payment

Value-based payment is ripe to repeat past fee-for-service problems—widespread slowdowns as each entity took different approaches to data collection and sharing and, as a result, hampering interactions. CAQH CORE is getting in front of these challenges now.

Erin Richter Weber August 15, 2018

ACO Advocates Warn on Program Overhaul

Aug. 13—A proposed overhaul of Medicare’s primary accountable care organization (ACO) program could cause massive departures, advocates for the entities warned soon after it was issued.

Rich Daly August 14, 2018

6 Tactics of Successful ACOs

To gain the assurance of success under value-based care, all accountable care organizations (ACOs) should adopt the best practices of the most high-performing ACOs.

Rosemarie Day, MPP August 9, 2018

CMS Official: Logistical Limits Restricting New Payment Models

Aug. 8—Medicare has not approved more alternative payment models—despite calls by many hospitals and physicians for more of them—due to limits in time, staff, and funding, a Medicare executive said.

Rich Daly August 9, 2018

July 23-27: Providers Examining Why APMs Are Expected to Stall

July 19—Provider organizations next week will continue their analysis of the recently issued massive Medicare physician payment proposed rule, including the surprise projection that alternative payment model (APM) participation may decline.

Rich Daly July 20, 2018
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