Accountable care organizations are slowly entering more risk-based contracts, but delivery system reform isn't keeping pace with payment model changes.
Employers are still lukewarm on the concept of ACOs, and a Georgia flooring company has found success limiting cost growth without one.
Accountable care organizations in the CMS' Medicare shared-savings program reduced spending by about $1 billion in the first three years, while also improving quality of care, according to a report by HHS' OIG.
The CMS is seeking to address a long-standing provider complaint about ACOs by providing them more certainty on which patients they'll be evaluated on.
UMass Memorial, one of six provider groups in Massachusetts' Medicaid ACO pilot, will not continue with the upcoming larger initiative.
Hailed as one of the primary vehicles for driving the industry away from fee-for-service arrangements, accountable care organizations now cover roughly 10% of the U.S. population, according to Leavitt Partners and the Accountable Care Learning Collaborative.
When the CMS implemented MACRA last fall, physicians focused their attention on two payment tracks. But another option is available that experts say will benefit physicians and ACOs even more.
Rhode Island's Medicaid managed-care program improved after the state launched Medicaid accountable-care organizations. Medicaid plans oversee groups of providers that are responsible for performing well on quality, outcomes and cost.
Under the Accountable Health Communities model, organizations will test ways to improve collaboration between healthcare providers and the local community and better address the social determinants of health.
As healthcare reformers search for the key to a successful accountable care organization, they should look very carefully at one important but overlooked factor that could significantly affect the model's effectiveness in lowering costs and improving quality, a new study suggests.
The CMS is trying to boost patient and provider participation in accountable care organizations by automating the process to pair patients with doctors enrolled in the care models.
The accountable care organization is loosely defined as a collection of doctors, hospitals and other providers who agree to take financial responsibility for the quality of care. Proponents argue they have great potential to improve healthcare value.