The Numbers for 2018
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Conclusion
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Filed under: Health Economics, Health Insurance, Managed Care | Tagged: ACOs, Medicare ACOs |















ACOs
Accountable care organizations rely on the premise that improving outpatient and preventive care, perhaps with improved management and coordination of services for those with chronic conditions, will save money.
But a recent study in Health Affairs showed that care coordination and management initiatives in the outpatient setting haven’t been drivers of savings in the Medicare Shared Savings Program.
Butch
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More on Medicare ACOs
CMS proposes Medicare ACO revamp to force risk:
https://www.healthcaredive.com/news/cms-proposes-medicare-aco-revamp-to-force-risk/529835/
Dr. David Edward Marcinko MBA
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ACOs
“To ensure that ACOs have a sufficient business case to participate in this voluntary program, we urge CMS to modify these proposals in the final rule,” the lawmakers said in an Oct. 23 letter to CMS Administrator Seema Verma.
However, CMS innovation center chief Adam Boehler has said he is not worried if ACOs drop out, as he says others will take their place in the system.
Charlene
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Medicare ACOs
CMS finalizes rule forcing ACOs to take on more risk!
Smaller, physician-led or “low revenue” ACOs – many of which are in rural areas – have shown greater success in controlling costs than hospital-led ACOs.
-Seema Verma [CMS]
The agency also just released results of Next Generation, the ACO that takes on the most risk for Medicare payments.
https://www.healthcarefinancenews.com/news/cms-finalizes-rule-forcing-acos-take-more-risk
QUESTION: Is anyone surprised?
It is much more difficult to turn around battle-ship than a cigarette boat.
Dr. David E. Marcinko MBA
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MSSP and ACOS Update 2020
https://www.hcinnovationgroup.com/policy-value-based-care/mips-macra/article/21148903/cms-drops-proposed-rule-impacting-quality-payment-program-mssp-acos
Dr. David E. Marcinko MBA
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ACOs
Since Value-based care has not proven to improve outcomes for patients and only enriches the payers there is reason to not cut back don’t you think?
Where is the third-party empirical research supporting the validity of value-based care? Most of the data supporting so-called value-based care come from the payers and biased researchers like Rand Corp.
NK
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