By Dr. Mansoor Khan – It’s safe to say that ACO groups are not too happy about the MSSP Quality reporting overhaul, the need here is of an exceptional Population Health Management Platform. The conflict stems from multiple policy changes on behalf of CMS that lacked adequate input from patient, ACO, and provider communities.
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By Sanjay Seth MD – ACOs participating in shared savings programs face a number of opposing forces in 2021. From a decline in the number of Medicare beneficiaries to new CMS regulations to force downside risk sooner, ACOs are carefully weighing their options in the year ahead.
More than 500 accountable care organizations, medical practices, and health systems urged leaders in Congress in a letter sent to preserve important Medicare bonuses that encourage participation in risk-bearing alternative payment models.
By Sanjay Seth MD – With CMS’s release of the 2020/2021 Shared Savings Quality Measure Benchmarks, here are some insights around how ACOs could be impacted on the cost benchmarking from a historical respective, the regional adjustment and the few benchmarking methods utilized by the commercial payers.
NAACOS reported that Medicare’s largest alternative payment model by far had another record year of savings while continuing to provide high-quality care, as shown by data on 2019 performance released by CMS. Check out ACOs reporting savings.
By Matthew Fusan – CMS released proposed rule for 2021 QPP, which covers both the MIPS and APMs. For MIPS, there was speculation leading up to the release of the rule about how the COVID-19 pandemic would impact the program for 2020 and 2021.
Attributed to Clif Gaus, Sc.D., President and CEO of the National Association of ACOs – The Medicare Payment Advisory Commission’s (MedPAC) recommendation to ignore shared savings in 2020 would devastate Medicare ACO programs.
By Matt Fisher – Healthcare prices vary significantly from one organization to the next for the same services and patients are highly unlikely to know what those prices will be. The issue is a topic of frequent debate and concern for all within healthcare.
By Daniel Marino – With recent changes to the Medicare Shared Savings Program, all accountable care organizations need to pay closer attention to their compliance obligations and be prepared to make changes quickly.