The Medicare Shared Savings Program (MSSP), the accountable care organization (ACO) model that served 10.6 million seniors in 2020, collectively saved Medicare $4.1 billion last year, and $1.9 billion after accounting for shared savings payments, according to the National Association of ACOs (NAACOs) and as recently published in Healthcare Finance. 513 ACOs participated in the...
CMS recently calculated that the United States spent $3.8 trillion — or 18 percent of the gross domestic product — on healthcare in 2019. The current healthcare landscape indicates this spending rate will not slow anytime soon due to the COVID-19 pandemic, an ongoing healthcare crisis. Value-based care models like Accountable Care Organizations (ACOs) and...
Negotiating value-based reimbursement & Value-based contracting is a complex process for healthcare providers. Organizations participating in value-based agreements need to consider the specific population covered under the contract, the particular reimbursement model used, and which quality and utilization measures will be tracked. And because each contract varies, negotiators rely on every available insight to truly...
Back in June we conducted a webinar titled Power Over Uncertainty – Five Steps for ACOs to Take Now, where we outlined five steps we suggested ACOs take to improve quality outcomes, while also ensuring organizational sustainability. With CMS’s release of the 2020/2021 Shared Savings Quality Measure Benchmarks this month, I wanted to share some...
The COVID-19 pandemic has created great uncertainty for Accountable Care Organizations (ACOs). From the complete demise of value-based care payment models to loss of shared savings incentives, ACO concerns abound and rumors run rampant. Every day our nation’s ACO leaders are being bombarded with both superfluous perceptions and stark realities. And the pressure shows.
ACOs have big decisions to make regarding CMS’s Pathways to Success value-based initiative. With new rules dictating how long they can stay in the Shared Savings track before moving towards a risk arrangement, eligible ACOs must now determine:
When it comes to the proposed “Pathways to Success” for accountable care organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP), my suggestion is this: Don’t throw the baby out with the bathwater.
Last month HealthEC reported that we helped our accountable care organization (ACO) clients achieve $21.4 million in Medicare Shared Savings Program (MSSP) savings and receive reimbursements totaling more than $9.5 million for the 2017 performance year. We also announced a 100% client success rate for the MSSP program.
