Physicians aren't buying into CMS and private pay models that make them take on downside risk. A key reason? They're accountable for costs they can't control.
Nearly half of accountable care organizations surveyed said they now intend to stay in the Medicare Shared Savings Program even though they could be facing downside risk soon, a change of heart from previous surveys.
Accountable care organizations choose their risk levels in the Medicare Shared Savings Program, and few are willing to assume more risk at this time.
Twenty-nine Next Generation ACOs have formed a coalition to advocate for changes to that CMS model, which they argue deters long-term financial sustainability in the program.
Heritage Provider Network founder and CEO Dr. Richard Merkin says his goal is to continually push the envelope and try things that haven't been done before.
The Medicare Shared Savings Program generated $1.84 billion in savings over three years, which is nearly twice the savings CMS data show, according to a new study commissioned by the National Association of ACOs.
New analyses of the major payment reforms begun during the Obama years suggest they do in fact lower healthcare spending. While the savings are small, they provide a strong argument for HHS Secretary Alex Azar to step up the pace of value-based reimbursement reform.
HHS Secretary Alex Azar praised the CMS' recent proposal to require accountable care organizations to take on more risk sooner.
Medicare saved $82 million through a program in which the CMS loaned rural providers money to launch accountable care organizations.
The 472 Medicare ACOs generated a total of $1.1 billion in savings in 2017, allowing the CMS to make a $313.7 million gain from the program after dishing out bonuses. The savings come as the CMS looks to overhaul the program.
An ACO model that requires doctors to face major downside financial risk generated significant savings for Medicare in its first year, the CMS revealed in a new report.
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.