Accountable Care Bulletin
  Complimentary from the publishers of Accountable Care News               September 2018  
     
  Sponsor Message  
Quote
  "While CMS’ recent proposal includes some improvements to the current program – including opportunities for reduced regulatory burden, increased beneficiary engagement and greater predictability and stability through longer agreement periods – we are very concerned that proposals to shorten the time ACOs have in a one-sided model from six to two years and to cut the shared savings rate from 50% to 25% will, if finalized, have the unintended impact of impeding new ACO entry. ACOs need to have a sufficient business case to participate in this voluntary program, and NAACOS will urge CMS to modify these proposals in the final rule."
- Allison Brennan, Senior Vice President, Government Affairs, National Association of ACOs.
 
Factoid
 

ACOs in the MSSP [Medicare Shared Savings Program] generated $314 million in net savings to Medicare in 2017 after accounting for bonuses paid.

Excerpted from: Accountable Care News, Volume 9 Number 9, September 2018, "CMS Data on ACO Performance Plays Down MSSP Success, Touts Next-Gen Model Savings."

 
Healthshare TV
 
How cutting off subsidy payments to insurance companies would affect Obamacare A New Start for Medicare ACOs: Impact of the CMS “Pathways to Success” Program

Featured speaker is Mark A. Rucci, ACO Product Manager, SpectraMedix, and former MSSP ACO CEO.

 
 
  Check out HealthshareTV, the home for health care videos     
 
HealthSprocket List
 
  Ten Next Generation ACO Fast Facts

1. There were 18 active NGACOs in 2016, with 15 having prior Medicare ACO experience.
2. These 18 NGACOs served 477,197 beneficiaries, with 31,070 network providers and 775 network facilities.
3. Continue reading here

Source: "Next Generation Accountable Care Organization (NGACO) Model Evaluation First Annual Report," by NORC at the University of Chicago, for the Center for Medicare & Medicaid Innovation (CMMI)
 
     
 
This Month in Accountable Care News
  • CMS Data on ACO Performance Plays Down MSSP Success, Touts Next-Gen Model Savings
  • Primary Care Group Sees Ties Between PCP Presence, Better ACO Quality
  • Tech Watch: Advances Emphasize Better Use of Data to Measure, Monitor Aspects of Accountability
  • Industry News with briefs regarding Turn-Key Health and Blue Cross Blue Shield of Texas.
  • Thought Leaders' Corner: "If MSSP ACOs are performing as well as it seems they are, does CMS need to be so aggressive in its suggested overhauls to the program, with its primary logic being that one-sided risk models are not generating savings?"?
     
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