Minimum Savings Requirements: "If you go back to the group practice demonstration, which was 10 medical groups over five years, they had a 2% minimum savings to meet before they got into the shared savings program. In the proposed ACO regulations they have taken that 2% and raised it to 3.9%. If you talk to most of the medical groups who participated in the group practice demo, they had a difficult time getting to 2% over a five-year window. Many of them invested a lot more money than they ever got back. So when you take this up to 3.9% you are requiring a huge hurdle to be overcome by these medical groups financially before they get into the shared savings."
AMGA is the latest in a line of professional provider organizations that has raised concerns about the proposed rules for ACOs. Earlier this week, the College of Healthcare Information Management Executives complained that the ability of patients in accountable care organizations to restrict access to their personal health information is one of several huge hurdles.
In April, a slate of health leaders including the CEOs of Scripps Health, Alegent Health, Kaiser Foundation Hospitals, and Dean Health Systems weighed in with their responses to CMS' proposed regulations.
In its letter to Berwick, CHIME called for a re-examination of several sections of the proposed rules that it said would create significant pressures on ACOs.