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White House officials call for ACO rule changes

White House officials call for ACO rule changes

By Virgil Dickson  |  June 07, 2018

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.

Farzad Mostashari: Downside-risk fairness needed in ACOs

Farzad Mostashari: Downside-risk fairness needed in ACOs

By Dr. Farzad Mostashari  |  May 12, 2018

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?

Azar tells hospitals ACO models will get easier

Azar tells hospitals ACO models will get easier

By Susannah Luthi  |  May 09, 2018

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.

Verma draws the line on Medicaid limits, ACO risk contracts

Verma draws the line on Medicaid limits, ACO risk contracts

By Virgil Dickson  |  May 07, 2018

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.

Guest Commentary: Some lessons from an ACO's evolution

Guest Commentary: Some lessons from an ACO's evolution

By Deborah Schoenthaler  |  April 21, 2018

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 and Walmart partner on ACO and bundled payments

Emory and Walmart partner on ACO and bundled payments

By Modern Healthcare  |  April 20, 2018

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.

Medicare ACOs increased federal spending by $384 million

Medicare ACOs increased federal spending by $384 million

By Maria Castellucci  |  March 29, 2018

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.

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