Fierce Healthcare

OCTOBER 29, 2024

Accountable care organizations saved Medicare $2.1 Accountable care organizations (ACOs) saved Medicare $2.1 billion, the largest yearly savings in program history, in 2023, the Centers for Medicare & Medicaid Services revealed on Tuesday.

Medicare 326

Medicare Accountable Care Accountability Medicaid 326

Health Care Dive

APRIL 17, 2024

Independent practices have clearer financial incentives to lower medical spending than hospitals participating in accountable care organizations, according to the Congressional Budget Office.

Accountable Care 355

Accountable Care Medicare Accountability Hospitals 355

Fierce Healthcare

NOVEMBER 11, 2024

Accountable care organizations in the ACO Reach program can claim credit for saving the Centers for Medicare & Medicaid Services (CMS) hundreds of millions of dollars | CMS released favorable savings results for ACO REACH Model participants, as industry group NAACOS begins to push for the program's extension through 2030.

Accountable Care 274

Accountable Care Accountability Medicaid Medicare 274

Health Care Dive

JULY 8, 2022

Changes to the Medicare Shared Savings Program would give some accountable care organizations more time to ramp up to performance-based risk and updated quality reporting.

Accountable Care 329

Accountable Care Accountability Medicare 329

Fierce Healthcare

APRIL 11, 2024

Accountable care organizations have sounded the alarm on billions in durable medical equipment fraud, and officials at the Centers for Medicare & Medicaid Services (CMS) said Thursday that the | Accountable care organizations have sounded the alarm on billions in durable medical equipment fraud, and officials at the Centers for Medicare & Medicaid (..)

Accountable Care 249

Accountable Care Accountability Medicaid Medicare 249

Home Health Care

MAY 15, 2022

Accountable care organizations (ACOs) have considerably increased their home-based care arsenals over recent years. They’ve also diversified the types of home-based care they offer, and are finally finding ways for it to make economic sense in capitated models. Source: Institute for Accountable Care.

Accountable Care 86

Accountable Care Accountability Primary Care Medicare 86

Fierce Healthcare

JUNE 8, 2023

Phase 1 enrollment in the Medicare Shared Savings Program (MSSP) for 2024 is currently underway, and recent reforms hold promise in attracting new providers into accountable care.

Accountable Care 260

Accountable Care Accountability Medicare 260

Fierce Healthcare

JANUARY 29, 2024

In 2024, 50 accountable care organizations are new to the Medicare Shared Savings Program and 71 ACOs renewed participation, according to new numbers released by Centers for Medicare & Medicaid | CMS released new data Monday showing ACO participation in the Medicare Shared Savings Program, with 19 ACOs set to participate in a new payment option, (..)

Accountable Care 273

Accountable Care Medicare Accountability Medicaid 273

Fierce Healthcare

FEBRUARY 20, 2024

Accountable care organizations are calling on the feds to increase participation of long-term and post-acute care providers in ACOs and to better incorporate episodic-based payments. Payers, providers, ACO leaders and advocacy groups convened to discuss how to improve long-term and post-acute care participation in ACOs.

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Accountable Care Accountability 273

Fierce Healthcare

NOVEMBER 29, 2023

Accountable care organizations do not positively influence treatment and outcomes for chronic mental health conditions for Medicare patients, according to a study in Health Affairs. | A new study pours water on the belief that ACOs are well-suited to handle chronic mental health conditions its patients experience.

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Accountable Care Accountability Patient Experience Medicare 275

Health Care Dive

DECEMBER 6, 2023

The beleaguered insurer will leave the accountable care program at the end of the 2023 performance year following disappointing results in Medicare direct contracting.

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Accountable Care Accountability Medicare 261

Health Care Dive

DECEMBER 9, 2022

Accountable care organizations' net savings rates ranged from -29.4% in the 2021 Global and Professional Direct Contracting Model.

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Accountable Care Medicare Accountability 259

Health Care Dive

JANUARY 24, 2023

Rush University will be the only Chicago-area academic medical center participating in CVS’ first accountable care organization in ACO REACH.

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Medicare Accountable Care Accountability 259

Health Care Dive

JANUARY 18, 2023

Accountable care organizations and value-based care advocates cheered the news, with the National Association of ACOs calling 2023 a “turning point” for growth.

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Accountable Care Accountability 246

Health Care Dive

AUGUST 25, 2023

Nearly two-thirds of participating accountable care organizations earned payments for their performance last year, according to the CMS.

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Medicare Accountable Care Accountability 242

Health Care Dive

AUGUST 15, 2023

Regulators lowered enrollment minimums for accountable care organizations in the program, which allows providers to form groups to manage care and costs for fee-for-service Medicare enrollees.

Accountable Care 245

Accountable Care Regulations Accountability Medicare 245

Healthcare ECONOMIST

JANUARY 18, 2022

As Medicare Advantage grows each year, population-based alternative payment models like accountable care organizations are left with a shrinking pool of beneficiaries, he added. The first issue is that the pool of fee-for-service Medicare beneficiaries is shrinking, at least on a relative basis.

Accountable Care 75

Accountable Care Accountability Medicare Healthcare 75

HIT Consultant

JULY 13, 2022

For the better part of a decade, the shift toward value-based care in the U.S. Siddharth Thakkar, VP, Product and Marketing at IKS Health. has been driven by the establishment of the Center for Medicare and Medicaid Innovation (CMMI).

Accountability 98

Accountability Accountable Care Primary Care Medicare 98

Fierce Healthcare

JULY 14, 2023

Over two days, executives from accountable care organizations, health systems and payers spoke about interoperability, population health, social determinants, the cost of care and taking on risk. Equity was at the forefront of Reuters’ value-based health conference in Philadelphia last month.

Accountable Care 244

Accountable Care Population Health Accountability 244

Fierce Healthcare

AUGUST 2, 2024

Accountable care organizations are evaluating the impacts of the new requirements for the ACO REACH program. The Centers for Medicare & Medicaid Services (CMS) quietly released changes to the ACO REACH Model, prompting one industry group to react to the modifications. So far, the changes are a mixed bag, says NAACOS.

Accountable Care 205

Accountable Care Accountability Medicaid Medicare 205

Healthcare It News

JANUARY 18, 2022

In short, new organization- and provider-level emphasis on including SDOH along with traditional clinical diagnosis and utilization data is helping to "round out" the picture of patient populations targeted for care management interventions.

Pharmaceuticals 356

Pharmaceuticals Accountable Care Accountability Medicaid 356

Fierce Healthcare

MARCH 19, 2024

The Centers for Medicare & Medicaid Services (CMS) has announced the ACO Primary Care Flex Model (ACO PC Flex Model), allowing eligible accountable care organizations to treat people with with | Accountable care organizations are largely supportive of CMS' new primary care model released Tuesday, they wish the agency would broaden its scope (..)

Primary Care 157

Primary Care Accountable Care Accountability Medicaid 157

Fierce Healthcare

JULY 1, 2024

Accountable care organizations concerned they would be held responsible for bad actors exploiting the Medicare system can breathe a sigh of relief. ACOs may soon be able to take a breath of fresh air, as CMS shared Friday that it has no intention of punishing them for a urinary catheter fraud scandal.

Accountable Care 176

Accountable Care Accountability Medicare 176

Health Business Group

JULY 18, 2024

Can value-based care transform the American healthcare system? In this episode, we dive deep into this pressing question with Dr. Mohamed Diab , president of CVS Accountable Care. Dr. Diab highlights systemic challenges, such as physician burnout and the inadequacies of primary care funding.

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Accountable Care Accountability Life Sciences Primary Care 52

Fierce Healthcare

NOVEMBER 13, 2023

Care and treatment options for patients living with Alzheimer’s, dementia and Parkinson’s are often fragmented and limited and many primary care physicians feel unprepared to meet increased patient | Harmonic Health launched to bridge gaps in care for dementia patients by bringing together advanced technology and an expert care team to partner with (..)

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Accountable Care Primary Care Accountability Healthcare 190

Fierce Healthcare

APRIL 16, 2024

CVS Accountable Care and inVio Health Network, a collection of more than 600 providers in South Carolina, are partnering to improve care outcomes for 60,000 Medicare beneficiaries. |

Accountable Care 167

Accountable Care Accountability Medicare 167

Fierce Healthcare

FEBRUARY 21, 2024

The blueprint set forth by Massachusetts accountable care organizations to improve population health metrics and reduce costs can be applied to New York, after Centers for Medicare & Medic | New York's section 1115 waiver allocates $500 million toward social care networks to connect community health workers with local organizations.

Accountable Care 157

Accountable Care Population Health Accountability Medicare 157

HIT Consultant

APRIL 16, 2024

What You Should Know: – inVio Health Network and CVS Accountable Care Organization, a division of CVS Health , have announced a collaboration to participate in the new Medicare Accountable Care Organization (ACO) REACH program. CVS Accountable Care contributes its extensive experience and resources.

Accountable Care 52

Accountable Care Accountability Medicare Population Health 52

Healthcare It News

SEPTEMBER 6, 2022

In March, Signify Health acquired Caravan Health , which serves Medicare beneficiaries through accountable care organizations. In 2022, Signify Health clinicians are expected to serve 2.5 million members at their homes, both in person and virtually. In 2023, those ACOs will represent 700,000 patients.

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Primary Care Remote Care Accountable Care Accountability 300

p3care

FEBRUARY 10, 2021

From the next performance year (2021), Accountable Care Organizations (ACOs) expect different reporting requirements under the Medicare Shared Savings Program. CMS (Centers for Medicare and Medicaid Services) has recommended changes for ACO reporting criteria. The requirements are somewhat the same as for QPP MIPS.

Medicare 246

Medicare Accountable Care Accountability Medicaid 246

Fierce Healthcare

AUGUST 24, 2023

billion in 2022 for accountable care organizations, which is th | Accountable care organizations saved a net $1.8 The Centers for Medicare & Medicaid Services (CMS) announced that the Medicare Shared Savings Program (MSSP) has saved a net $1.8

Accountable Care 130

Accountable Care Accountability Medicare Medicaid 130

Fierce Healthcare

SEPTEMBER 24, 2024

The Centers for Medicare & Medicaid Services (CMS) finalized a rule (PDF) Tuesday to limit the impact of fraudulent bi | Hoping to help accountable care organizations turn the page on a messy urinary catheter scandal, CMS released a final rule to hold ACOs financially harmless.

Accountable Care 130

Accountable Care Accountability Medicaid Medicare 130

Healthcare It News

MAY 4, 2023

"Implementing the cloud-based EHR technology allows us to successfully work toward whole-person health and increasingly accountable care models as behavioral health faces growing scrutiny and potential financial penalties for underperformance and under-reporting."

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Accountability Accountable Care Primary Care Integration 263

Healthcare It News

FEBRUARY 16, 2022

For example, an accountable care organization might wish to understand how a 15% increase in mammogram rates would translate into a financial pay-for-performance payout under multiple contracts. For example, a health system might wish to target women between ages 50 and 60 for a mammogram campaign in a particular set of ZIP codes.

Community Practice 234

Community Practice Accountable Care Accountability Primary Care 234

Healthcare It News

OCTOBER 13, 2021

" Feinberg acknowledged the challenges of accountable care. But we in America remain focused on fee-for-service instead of fee-for-value, or incentives that would push all of us upstream."

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Population Health Doctors Nursing Accountable Care 294

Healthcare It News

JANUARY 4, 2022

Progress toward accountable care is halting. Data is everywhere, but not always available or decipherable to help manage myriad challenges. Financial and revenue cycle disruptions are significant. Relentless cyberattacks are an ongoing threat. But still there are reasons to be cheerful.

Hospitals 356

Hospitals Nursing Accountable Care Clinical Practice 356

HIT Consultant

JANUARY 25, 2024

What You Should Know: The Ohio State University Wexner Medical Center a nd CVS Accountable Care, part of CVS Health® (NYSE: CVS), today announced the creation of an accountable care organization (ACO) to improve the quality of care for Medicare beneficiaries by Ohio State providers in central Ohio.

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Medicare Accountable Care Accountability Quality of Care 90