SNF leaders wary of new ACO rule

SNF leaders wary of new ACO rule

By Michael Sandler  |  November 21, 2015

Skilled-nursing facilities are seeking more say in how they contract with accountable care organizations as a new CMS rule for ACOs loosens the coverage policy for some Medicare patients, experts say.

Two more Pioneer ACOs exit as new CMS model emerges

By Melanie Evans  |  November 04, 2015

Medicare's most ambitious accountable care effort will enter its final year with half the participants that began the program. Massachusetts providers Steward Health Care System and Mount Auburn Cambridge Independent Practice Association have withdrawn.

Medicare ACOs get final waivers for Stark, kickback laws

By Lisa Schencker  |  October 28, 2015

More than three years after the launch of the Medicare Shared Savings Program for accountable care organizations, HHS finalized waivers that help participants avoid tripping federal laws that police financial relationships among physicians and hospitals.

Dartmouth-Hitchcock exits Medicare's Pioneer ACO program

By Melanie Evans  |  October 20, 2015

Dartmouth-Hitchcock Medical Center is the latest to pull out of the CMS Innovation Center's Pioneer ACO initiative, Medicare's earliest and most aggressive test of accountable care, which has lost nearly half its initial cohort.

Providers and insurers must help ACOs reach their goals

By Modern Healthcare  |  October 17, 2015

Providers and insurers need to do a better job of reaching patients and employers to help private accountable care organizations achieve lower costs and higher quality, according to physician executives at four large health insurance companies.

Let skilled-nursing providers take risk in bundled-payment demonstration

Let skilled-nursing providers take risk in bundled-payment demonstration

By Mark Parkinson  |  October 17, 2015

We face a Medicare crisis. Millions of baby boomers are reaching an age where they depend on the program to meet their healthcare needs. At the same time, the government is still struggling to control healthcare costs. This isn't a new problem, but it is one that we must approach strategically and...

Medicare ACOs lost $41 million to poor quality performance

By Melanie Evans  |  October 16, 2015

Keeping people out of the hospital is a primary goal of Medicare accountable care. For the most financially successful ACOs, however, that proved difficult last year, even with money on the line.

Many private-payer ACOs fail to yield lower costs, better quality

By Bob Herman  |  October 15, 2015

Medicare's investment in accountable care organizations has inspired hospitals and doctors to create their own versions of ACOs with private insurers. But as with Medicare, not all private ACOs are achieving lower costs and higher quality.

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