Accountable Care Bulletin
  Complimentary from the publishers of HealthExecWeek                          January 2024  
     
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Insights
  Recent updates and emerging best practices for ACOs in the MSSP
Healthcare Finance Management Association, January 9, 2024
   
  CMS-based info blocking disincentives jeopardize Medicare participation: MGMA
Healthcare IT News, January 3, 2024
   
  South Florida ACOs on Downward Enrollment Spiral
South Florida Hospital News, January 1, 2024
   
  NIH grant awarded to study effect of Medicaid ACOs on children's mental care
Becker's Behavioral Health, December 28, 2023
   
  Next Steps For Engaging Specialty Care In ACO Models
Duke Margolis Center for Health Policy, December 22, 2023
   
  Steward faces false claims suit
Becker's Hospital Review, December 18, 2023
   
  How Your ACO Can Optimize APP Reporting Using Medicare CQMs
Roji Health Intelligence, December 12, 202
   
HealthSprocket List
 
  MSSP Estimated Savings from 2013 to 2021: 4 Takeaways

1
. The MSSP was associated with net losses to traditional Medicare of between $584 million and $1.423 billion
2. Savings from MSSP-related reductions to Medicare Advantage (MA) benchmarks totaled between $4.480 billion and $4.923 billion.
3. Across traditional Medicare and MA, the MSSP was associated with net savings of between $3.057 billion and $4.339 billion.
4. This represents approximately 0.075% of combined spending for traditional Medicare and MA.

Notes: MSSP refers to the Medicare Shared Savings Program. 
 

Source: JAMA Health Forum, "Estimated Savings From the Medicare Shared Savings Program," December 15, 2023.
 
 
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Healthshare TV
 
How cutting off subsidy payments to insurance companies would affect Obamacare Emerging CMMI Models: Aligning to Reduce Burden & Achieve Person-Centered Care in 2024

Duke-Margolis hosted a webinar to discuss what the new and revised CMS Innovation Center (CMMI) models mean for patients and providers, with updates from CMMI on the CMS vision for accountable care, including the redesigned ACO REACH, Making Care Primary, GUIDE, and the AHEAD Model.

 
 
  Check out HealthshareTV, the home for health care videos   
 
 
 
What's News
  The mechanics of risk adjustment and incentives for coding intensity in Medicare
Health Services Research, January 11, 2024
 
     
  Interactions between the CIF and +/- 3% risk score floor & ceiling in ACO REACH
Milliman, January 10, 2024
 
     
  Financial Performance of ACOs: A 5-Year National Empirical Analysis
Journal of Healthcare Management, abstract only, January/February 2024
 
     
  Assessment of ACO Strategies: A Qualitative Approach
Open Journal of Business and Management, January 2024
 
     
  VBP models and management of newly diagnosed prostate cancer
Cancer Medicine, December 26, 2023
 
     
  Regulators adjust OneCare Vermont budget, look toward new strategy
The Vermont Digger, December 21, 2023
 
     
  Estimated Savings From the Medicare Shared Savings Program
JAMA Health Forum, December 15, 2023
 
     
HealthExecWeek: Managed Care
 

HealthExecWeek: Managed Care provides a weekly wealth of business intelligence and insights covering the spectrum of subjects filling the arena of managed care. Because doing business in the world of managed care today isn’t siloed, neither is our coverage. You will be able to stay a step ahead in a healthcare business environment where all subject matter lines seem to blue and cross over to the next.

 
     
     
 
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