The Centers for Medicare & Medicaid Services (CMS) began offering the voluntary Shared Savings Program to improve healthcare's track record with outcomes, experience and cost. Accountable Care Organizations (ACOs) that demonstrate quality and savings earn rewards – the more risk they take on,...
Modern Healthcare's Tara Bannow is attending the Healthcare Financial Management Association's annual conference in Las Vegas. Here are some takeaways from presentations and meetings on Tuesday.
Accountable care organizations are failing to meet their promise to save Medicare money, and regulations governing the model need to change, according to senior White House officials.
Health plans and Medicare are signing new outcome-based contracts with physicians where they share in the savings if they work together to keep patients healthy. Should doctors be on the hook to share in losses if costs increase in spite of their efforts?
Fearing the CMS will force them to take on more financial risk, provider groups are looking to leave the Medicare ACO program.
Some providers believe HHS Secretary Alex Azar will ease provider self-referral restrictions that they say inhibit physicians and hospitals from building accountable care organizations.
CMS Administrator Seema Verma told hospital executives that she will reject Kansas' request to impose lifetime limits on Medicaid coverage. She also came out against allowing ACOs to continue avoiding downside risk.
ACOs say they will shut down if forced to face downside risk, but policy insiders say any delays would affect their stated goal: Medicare savings.
There's no one way to structure an ACO and help it succeed. Beth Israel Deaconess Care Organization's COO offers some tips from the lessons they've learned since launching in 2012.
Emory Healthcare and Walmart are creating an ACO to serve about 10,800 Walmart employees in the Atlanta area. The ACO will include a bundled-payment program for spine surgery and joint replacement.
Risk-averse accountable care organizations are the largest reason why the federal government hasn't yet been able to profit from the program, and they have cost the CMS $384 million in three years, according to a new report.
Congress' budget deal included several changes to the Medicare Shared Savings Program that experts say will motivate beneficiaries to be more proactive about their health.