Accountable Care Bulletin
  Complimentary from the publishers of Accountable Care News               January 2021  
     
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Quote
  "For every year of the program, Next-Gen ACOs yielded savings for Medicare while improving quality. Very few programs CMS has developed can say that."
-  Clif Gaus, ScD, President and CEO of the National Association of ACOs (NAACOS).
 
Factoid
 

According to Cigna's 5th annual Value of Integration study, based on a two-year analysis of 2.2 million medical claims, customers who were living with depression were 16% less likely to have emergency room visits if they were engaged in programs such as counseling, lifestyle or wellness coaching, smoking cessation and case management for more complex conditions. Also, engaged customers living with diabetes were 14% less likely, and those with musculoskeletal conditions like arthritis or back pain were 11% less likely, to have emergency room visits.

Source: Accountable Care News, Volume 12 Number 1, January 2021, Cigna Says Study Shows ‘Integrated Medical, Pharmacy, Behavioral Benefits Deliver Better Outcomes, Improve Affordability’.
 

 
HealthSprocket List
 
  CMS: Medicare Shared Savings Program Statistics, by year

1. 2021: 477 ACOs with 10.7 million assigned beneficiaries
2. 2020: 517 ACOs with 11.2 million assigned beneficiaries
3. 2019: 487 ACOs with 10.4 million assigned beneficiaries
4. 2018: 561 ACOs with 10.5 million assigned beneficiaries
5. 2017: 480 ACOs with 9.0 million assigned beneficiaries
6. 2016: 433 ACOs with 7.7 million assigned beneficiaries
7. 2015: 404 ACOs with 7.3 million assigned beneficiaries
8. 2014: 338 ACOs with 4.9 million assigned beneficiaries
9. 2012/2013: 220 ACOs with 3.2 million assigned beneficiaries


NOTES: as of January 1st of each year.

Source: CMS, January 2021
 
 
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How cutting off subsidy payments to insurance companies would affect Obamacare 2021 Quality Payment Program Final Rule Overview

Provides an overview of finalized policies for the 2021 performance year of the Quality Payment Program.

 
 
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Insights
  Next Gen ACOs Saved Medicare $59M, Improved Quality in 2019
HealthLeaders, January 14, 2021
 
     
  Telehealth flexibilities continue & ACOs held harmless under emergency extension
Healthcare Finance, January 12, 2021
 
     
  Fee-For-Service Payments Still an Issue in VT All-Payer ACO Model
RevCycle Intelligence, January 7, 2021
 
     
  What percent of physicians participated in ACOs? — 9 stats
Becker's ASC Review, January 4, 2021
 
     
  Delaware Medicaid Authorizes Four Medicaid Accountable Care Organizations
Open Minds, December 28, 2020
 
     
  ACOs press for halt to Geographic Direct Contracting model due to complexity
FierceHealthcare, December 18, 2020
 
     
  Intermountain, UnitedHealthcare create ACO for Medicare Advantage members
MedCity News, December 17, 2020
 
     
What's News
  Estimates of ACO savings in the presence of provider and beneficiary selection
Healthcare via ScienceDirect, abstract only, March 2021
 
     
  ACOs during Covid-19: Routine care for older adults with multiple conditions
Healthcare via ScienceDirect, March 2021
 
     
  Effectiveness of a Nurse-Led Intervention on Advance Care Planning in an ACO
JAMA Network, January 11, 2021
 
     
  Post-Acute Care for Medicare Beneficiaries in Accountable Care Organizations
Innovation in Aging, abstract only, December 16, 2020
 
     
This Month in Accountable Care News
 
  • Cigna Says Study Shows ‘Integrated Medical, Pharmacy, Behavioral Benefits Deliver Better Outcomes, Improve Affordability’
  • AHIP: ‘Big Pharma Kicks Off 2021 With 100s of Drug Price Hikes’
  • Market Reports: Care Management Solutions Market Seen Surging at 17% Yearly Through 2030
  • Journal Scan
  • Washington Watch: NAACOS: Public Records Show Next-Gen ACOs ‘Saved Medicare $559M in 2019’; APG, agilon ‘Applaud CMMI’ for Geographic Direct Contracting Model; AmeriHealth Caritas, Village MD to Participate in Primary Care Direct Contracting Program; NAACOS Praises Incentive Fixes, Pans Quality Assessment in MSSP
  • Industry News with briefs regarding Regence and MultiCare Health System; Horizon Healthcare Services and Geneia; Equality Health and Commonwealth Primary Care ACO; Valley Health and Anthem;  State of Connecticut; CareFirst and UofM Medical System; Kelsey-Seybold and Humana.
 
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