Accountable Care Bulletin
  Complimentary from the publishers of Accountable Care News               March 2022  
     
  Sponsor Message  
Quote
  "We believe that instead of creating shared incentives based only on peer benchmarks, you should also have self-benchmarks. You can show that you improved compared to your prior performance. There needs to be appropriate incentives for ACOs to undertake continuous quality improvements, which is not happening today. You need to have continuous quality improvement even after switching to the two-sided models."
-  Dr. Indranil Bardhan, Foster Parker Centennial Professor of Information Technology in the McCombs School of Business at the University of Texas at Austin
 

 
Factoid
 

A recent study in the American Journal of Preventive Medicine found that Federally Qualified Health Centers (FQHCs) located in a state with an active Medicaid accountable care organization were 15.2 percentage points more likely to conduct social risk screening than those located in other states. However, FQHCs that participated in a Medicaid managed care contract were 9.5 percentage points less likely to screen for social risks than FQHCs without Medicaid managed care.

Source: Boston University News Release, February 24, 2022
 

 
HealthSprocket List
 
  AJMC: Small ACO Medicare Practices Reduced Spending More Than Large Ones

1.
Patients in small ACO practices had annual Medicare spending decreases of $269 more than those attributed to large ACO practices (a 3% decline in baseline spending)
2. Small ACO practices reduced spending more than large practices by $165 for physician services (a 3.4% decrease in baseline spending)
3. Small ACO practices reduced spending more than large practices by $113 for hospital/acute care (a 5% decrease in baseline spending)
4. Small ACO practices reduced spending more than large practices by $52 for other services (a 2% decrease in baseline spending)

Note: From an article entitled, "Small Practice Participation and Performance in Medicare Accountable Care Organizations," by Jason B. Gibbons, PhD; Chiang-Hua Chang, PhD; Mousumi Banerjee, PhD; Jennifer Meddings, MD, MSc; Edward C. Norton, PhD; Lena Chen, MD, MS; Julie P.W. Bynum, MD, MPH.
 

Source: The American Journal of Managed Care, March 11, 2022
 
 
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Healthshare TV
 
How cutting off subsidy payments to insurance companies would affect Obamacare How Rural ACOs earned $100M-plus in shared savings and expanded their 340B programs up to 50%

ACO participation improves patient care and provides reliable income for rural hospitals. Safety-net providers can unlock unrealized revenue and improve patient care with ACOs and the 340B program.  This adds value to both the facility and its patients. Additionally, with proper documentation, ACO participation can more than double 340B net discounts for Medicare patients.

 
 
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Insights
ACOs increase shared savings, but quality drops, data shows
Healthcare Finance, March 16, 2022
     
  Leveraging value-based care data analytics to improve outcomes
Medical Group Management Association, March 15, 2022
 
     
  Organizations Urge CMS, HHS to Terminate New ACO REACH Model
RevCycle Intelligence, March 10, 2022
 
     
Mixed Verdict on ESRD ACOs
Managed Healthcare Executive, March 4, 2022
     
  Care coordination: What's needed to succeed with AC and home health?
Healthcare IT News, March 4, 2022
 
     
  NAACOS forms coalition to help providers pivot to new CMS ACO model
Becker's Payer Issues, March 4, 2022
 
     
  Thoughts on Redesigning Health Care: Aligning Incentives to Drive Innovation
The American Journal of Accountable Care, March 3, 2022
 
     
  CMS's overhaul of the Direct Contracting program draws praise
Healthcare Financial Management Association, March 3, 2022
 
     
  Rapidly Depleting Medicare Assets Call for Better ACO Participation Incentives
HealthLeaders, February 28, 2022
 
     
  CMS overhauls Direct Contracting model to include new requirements in 2023
FierceHealthcare, February 24, 2022
 
     
  CMS ends ACO track in rural payment model
Becker's Hospital Review, February 23, 2022
 
     
What's News
  Small Practice Participation and Performance in Medicare ACOs
The American Journal of Managed Care, March 11, 2022
 
     
Policy Solutions to Facilitate the New eCQM ACO Reporting and Interoperability
The American Journal of Accountable Care, March 3, 2022
     
  ACO reform: past challenges and future opportunities for public health
Public Health via ScienceDirect, abstract only, online ahead of print March 3, 2022
 
     
  CMS Redesigns ACO Model to Provide Better Care for Traditional Medicare
CMS, February 24, 2022
 
     
This Month in Accountable Care News
 
  • Details Behind the CMS Redesign of GDPC to ACO REACH
  • Community Care Alliance and Collaborative Health Systems Partner in Rural Colorado
  • CHS Statement on Evolution of CMMI ACO Models
  • CMS Removes ACO Transformation Track From CHART
  • Change to ACO REACH Spurs Coalition Activity
  • Examining the 2022 CMS GDPC DCE Roster
  • Industry News
  • Research Briefs
 
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