ACO
publication date
Finance
Arizona ACO Model Ready to Go National
The Blue Cross Blue Shield of Arizona Shared Savings Program sent more than $148,000 to 148 physicians in the fourth...
Clinical Care
Medicare's Mandatory Bundled Payments Prove Their Worth
Hospitals that get bundled payments for joint replacements either voluntarily or through Medicare's mandatory programs, vary by size and volume,...
Strategy
CMS says Quality Payment Program Exceeds Year 1 Participation Goal
Feds say 91% of eligible clinicians participated in the first year of the initiative, and that submission rates for rural...
Strategy
Direct Provider Contracting: Keep It Simple, Stakeholders Tell CMS
For the most part, providers support the Direct Provider Contracting proposal put forward by the Centers for Medicare & Medicaid...
Strategy
Regional 'Super-ACOs' May Relieve Small ACO Risk Problem
Minimum patient thresholds and high investment levels can be hurdles for most regional health systems to participate in ACOs, but...
Strategy
Value-based Care Coalition Focuses on Independent Physicians
The newly formed Partnership to Empower Physician-Led Care will use education and advocacy to promote alternative payment models and consumer-directed...
Finance
Track 1 ACOs Likely to Bail Out Rather Than Assume Risk
Participants in Medicare's ACO program are not willing to take on the risk of losing money. A recent survey found...
Strategy
NextGen ACO: 3 Steps to Value-Based Care
UnityPoint Health's foray into CMS' NextGen ACO model is helping the health system transition its entire book of business to...
Clinical Care
Emory Healthcare Launches ACO with Walmart
The retailer's Atlanta-area workers will be served by the plan, which aims to foster collaboration among hospitals, physicians, payers, and...
Clinical Care
Medicare ACOs Underused Primary Care Docs
Barriers that ACOs may face in shifting visits to PCPs 'could include low numbers of PCPs contracted in the ACO,...
Finance
CMS Rule Change Would Ease State Reporting on Medicaid Access
The proposal would exempt states with a Medicaid managed care penetration of 85% or more from some monitoring requirements, and...
Finance
No More 'Low-Hanging Fruit' in Value-Based Care, Challenges Ahead for Insurers
Even as insurers see improvements and cost savings from value-based arrangements, they have to look for new ways to implement...