Accountable Care Bulletin
  Complimentary from the publishers of Accountable Care News               September 2021  
     
  Sponsor Message  
Quote
  "We have heard from ACOs that the work they were engaged in before the pandemic to coordinate care and improve quality enabled them to better respond to COVID-19. They were able to work quickly to transition to telehealth and continue to provide needed access to care, and they were able to provide the team-based services needed to address the full spectrum of issues arising from the pandemic, ranging from community prevention and health-related social needs to end-of-life support for patients and their families."
-  Meena Seshamani MD PhD, Deputy Administrator at CMS
 

 
Factoid
 

The Medicare Shared Savings Program -- the ACO model that served 10.6 million seniors in 2020 -- collectively saved Medicare $4.1 billion last year, NAACOS says, and $1.9 billion after accounting for shared savings payments. Other key points from the ACO results include $390 in gross savings per beneficiary; 345 out of 513, or 67%, of ACOs earned shared savings; and ACOs earned $2.3 billion in shared savings payments.

Source: Accountable Care News, Volume 12 Number 9, September 2021, "ACO Performance: NAACOS: ‘Medicare ACOs Increased Savings for 7th Straight Year’."
 

 
HealthSprocket List
 
  5 ACOs with the Highest Total Earned Shared Savings in 2020

1.
Palm Beach Accountable Care Organization - $54.3 Million
2. Steward National Care Network, Inc. - $51.5 Million
3. Baylor Scott & White Quality Alliance - $47.1 Million
4. Mass General Brigham ACO, LLC - $46.7 Million
5. Privia Quality Network, LLC - $42.2 Million

Notes: From an article entitled, "10 ACOs with the Highest Shared Savings Payments in 2020," based on CMS data updated August 25.
 

Source: RevCycle Intelligence, September 2, 2021
 
 
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Healthshare TV
 
How cutting off subsidy payments to insurance companies would affect Obamacare 2022 Proposed Rule Insights Impact on MIPS, APP and More

MIPS, the Merit-Based Incentive Payment System, is the program that determines Medicare payment adjustments. This webinar reviews the 2022 proposed changes by CMS to the MIPS program, how those changes will affect providers and provider groups, and the future of the MIPS program.

 
 
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Insights
Reduce the risk of moving toward risk
Medical Economics, September 17, 2021
     
  Lack of Healthcare Interoperability Hinders Electronic ACO Reporting
RevCycle Intelligence, September 16, 2021
 
     
  Increasing Medicare Annual Wellness Visits in Accountable Care Organizations
The American Journal of Accountable Care, September 15, 2021
 
     
  Coordination Without Consolidation? Options for ACOs
The American Journal of Accountable Care, September 14, 2021
 
     
  Medicare Shared Savings Program ACOs saved $4.1 billion in 2020
Healthcare Finance, August 27, 2021
 
     
  Cost Savings Aren’t The Only Objective For ACOs: Growth Matters, Too
Roji Health Intelligence, August 24, 2021
 
     
  ACOs don't cut costs, study finds
Becker's Hospital Review, August 23, 2021
 
     
What's News
  Advanced imaging use and payment trends in a large pediatric ACO
Pediatric Radiology, September 17, 2021
 
     
  Disparities in the Use of in-Person & Telehealth Outpatient Visits in an ACO
Health Services Research, September 15, 2021
 
     
  More Than “Beating the Benchmark”: 5 Medicare ACOs, 2015-2019
The American Journal of Accountable Care, September 14, 2021
 
     
  CMS evaluates Vermont All-Payer Model: Early results are 'promising'
Vermont Business Magazine, September 3, 2021
 
     
  CareSource partners with Akron Children’s Hospital to create coordinated care
Akron Children's Hospital News Release, August 30, 2021
 
     
  Assoc. of Outcomes with Bundled Pmts. Among Hosp. Patients Attributed to ACOs
JAMA Health Forum, August 20, 2021
 
     
This Month in Accountable Care News
 
  • ACO Performance: NAACOS: ‘Medicare ACOs Increased Savings for 7th Straight Year’; CMS Spin: ‘ACOs an ACA Success Story’; ‘All Caravan Health Collaborative ACOs’ Report Earning Shared Savings; Aledade Docs ‘Will Double Shared Savings Across All Payers’; Mount Sinai ‘Generates $28M in Medicare Savings by New York Medical Partners ACO’;
  • News @ Deadline: CareFirst, Highmark Launch Plan for Labor Unions
  • Washington DC Watch: CMS Evaluation of Vermont All-Payer Model: ‘Early Results Promising’; ONC’s Health IT Framework Aims to ‘Advance SDOH Data Use, Interoperability’; Excerpts from AHIP Letter to HHS Re: NSA Rules; CMMI Aims for Infusing Equity Into New Models; Zelis: Most Health Insurers ‘Concerned’ Over NSA Transparency Rules; NAACOS Wants ‘Rethinking of Medicare ACO Quality Reporting’; National Health Groups Ask Congress to Include ACO Bill in Reconciliation Package; MedPAC Report Weighs In: Pros, Cons of APMs; Westmed Reports ‘Significant Savings for CMS’ in 2020; Rush ACO Reports ‘Record Medicare Savings’; Evolent ‘Exceeds Quality Standards, Saves Medicare $21M’.
 
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