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Commercial insurers less likely to offer 'upside-only' deals in ACOs

Commercial insurers participating in accountable care arrangements are less likely than Medicare to use payment models featuring the “upside-only” shared savings programs that are most popular among early accountable care organizations (ACO), according to an analysis of 85 payers.


A white paper released recently by the Premier healthcare alliance found that more than one-third of the 85 arrangements are for upside-only shared ­savings. Of all the upside arrangements, most fall within the Medicare Shared Savings Program or Medicare Advantage (57%).