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Savings Reported By CMS Do Not Measure True ACO Savings
The Future Of Delivery System Reform
Medicare ACOs: Incremental Progress, But Performance Varies
Medicare Accountable Care Organization Results For 2015: The Journey To Better Quality And Lower Costs Continues
The Roadmap To Physician Payment Reform: What It Will Take for All Clinicians to Succeed under MACRA
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Savings Reported By CMS Do Not Measure True ACO Savings
While participation in Medicare accountable care organizations (ACOs) continues to grow—9 million Medicare beneficiaries are currently attributed to Medicare Shared Savings Program (MSSP) ACOs alone, up 1.3 million since 2016 —controversy...
Published
Mon, Jun 06 2017 9:11 AM
by
Health Affairs BlogHealth Affairs Blog
Filed under:
Medicare
,
Payment Policy
,
Costs and Spending
,
ACOs
The Future Of Delivery System Reform
Over the past several years, the federal government has put billions of dollars into a variety of programs aimed at improving the way health care is delivered. The Affordable Care Act (ACA) authorized a broad agenda of reform projects, including accountable...
Published
Thu, Apr 04 2017 7:00 AM
by
Health Affairs BlogHealth Affairs Blog
Filed under:
Medicare
,
Payment Policy
,
Insurance and Coverage
,
Costs and Spending
,
Accountable Care Organizations
,
ACOs
,
Medicare Advantage
,
Affordable Care Act
,
MACRA
,
HMOs
,
supplemental insurance reform
Medicare ACOs: Incremental Progress, But Performance Varies
The Centers for Medicare and Medicaid Services (CMS) recently released financial and quality performance data for its accountable care organization (ACO) programs for the fourth performance year (PY4) of the Pioneer ACO Program and third performance year...
Published
Wed, Sep 09 2016 9:00 AM
by
Health Affairs BlogHealth Affairs Blog
Filed under:
Medicare
,
Quality
,
Payment Policy
,
Costs and Spending
,
ACOs
,
Pioneer ACOs
,
Medicare Shared Savings Program
,
Next Generation ACOs
,
Alternative Payment Models
Medicare Accountable Care Organization Results For 2015: The Journey To Better Quality And Lower Costs Continues
On August 25, the Centers for Medicare and Medicaid Services (CMS) released the quality and financial results for the ACOs participating in the Medicare Shared Savings Program (MSSP) and the Pioneer ACO Model during 2015. Overall, 31 percent of the MSSP...
Published
Fri, Sep 09 2016 10:29 AM
by
Health Affairs BlogHealth Affairs Blog
Filed under:
Medicare
,
Quality
,
Payment Policy
,
Following the ACA
,
Organization and Delivery
,
Accountable Care Organizations
,
ACOs
,
MSSP
,
shared savings
The Roadmap To Physician Payment Reform: What It Will Take for All Clinicians to Succeed under MACRA
As the largest change in Medicare physician payment since the Sustainable Growth Rate formula, the Medicare Access and CHIP Reauthorization Act ( MACRA ) will affect up to 836,000 clinicians and allocate more than $1.2 billion in payment bonuses and penalties...
Published
Tue, Aug 08 2016 10:00 AM
by
Health Affairs BlogHealth Affairs Blog
Filed under:
Medicare
,
Payment Policy
,
Insurance and Coverage
,
Costs and Spending
,
ACOs
,
MACRA
,
Alternative Payment Models
,
Merit-Based Incentive Payment System
,
Comprehensive Primary Care Plus
Three Steps Congress Can Take To Accelerate Medicare’s Delivery Transformation
The pace of change in the United States’ health care system is accelerating. Building on work by private and public payers, Centers for Medicare and Medicaid Services (CMS) officials are pursuing a transformation of how our health care system pays for...
Published
Tue, Aug 08 2016 9:01 AM
by
Health Affairs BlogHealth Affairs Blog
Filed under:
Primary Care
,
Medicare
,
Quality
,
Payment Policy
,
Insurance and Coverage
,
Organization and Delivery
,
Costs and Spending
,
CMMI
,
Long-term Services and Supports
,
ACOs
,
Medicare Advantage
,
Telemedicine
,
Alternative Payment Models
,
value-based insurance design
Health Expenditure Projections: When Does ‘New’ Become ‘Normal’?
The Centers for Medicare and Medicaid Services (CMS) has released its latest forecast of medical spending for the next decade. The headline number is that medical care as a share of gross domestic product (GDP) is expected to increase from its current...
Published
Wed, Jul 07 2016 1:30 PM
by
Health Affairs BlogHealth Affairs Blog
Filed under:
Medicare
,
Featured
,
Payment Policy
,
Insurance and Coverage
,
Costs and Spending
,
Medicaid and CHIP
,
ACA
,
ACOs
,
spending projections
,
MACRA
,
Alternative Payment Models
Health Affairs Study On Hospital Profitability Gives Us Some Important Factors To Watch Going Forward
In a recent article published in Health Affairs , Ge Bai and Gerard Anderson used Medicare cost report data to measure the profitability of U.S. hospitals and to identify factors associated with higher and lower hospital profitability. The study’s findings...
Published
Tue, Jun 06 2016 11:30 AM
by
Health Affairs BlogHealth Affairs Blog
Filed under:
Medicare
,
Hospitals
,
Population Health
,
Payment Policy
,
Insurance and Coverage
,
Costs and Spending
,
Health Professionals
,
ACOs
,
insurer consolidation
,
hospital consolidation
Understanding How Payment And Benefit Designs Work Together In Health Care
There is a lot of commotion around payment reform, with a proliferation of ways to pay health care providers and many different definitions of similar terms. This has led to efforts by experts and stakeholders in health care to define or classify payment...
Published
Wed, May 05 2016 10:20 AM
by
Health Affairs BlogHealth Affairs Blog
Filed under:
Medicare
,
Featured
,
Payment Policy
,
Costs and Spending
,
Medicaid and CHIP
,
ACOs
,
Catalyst for Payment Reform
,
Alternative Payment Models
,
Payment Reform Landscape
The Tangled Hospital-Physician Relationship
Together, hospital and physician services account for more than half of national health spending. In its 2014 National Health Expenditures estimates, the Centers for Medicare and Medicaid Services’ actuaries make the hospital (nearly $1 trillion) and...
Published
Mon, May 05 2016 8:00 AM
by
Health Affairs BlogHealth Affairs Blog
Filed under:
Physicians
,
Medicare
,
Quality
,
Hospitals
,
Population Health
,
Featured
,
Payment Policy
,
Costs and Spending
,
Health Professionals
,
ACOs
,
EMTALA
,
MACRA
,
Medicare Part B
,
Bundled Payments
Accountable Care Organizations In 2016: Private And Public-Sector Growth And Dispersion
As of the end of January 2016, Leavitt Partners, in partnership with the Accountable Care Learning Collaborative, has identified 838 active Accountable Care Organizations (ACOs) (see Figure 1) across the country with service areas in all 50 states and...
Published
Thu, Apr 04 2016 1:30 PM
by
Health Affairs BlogHealth Affairs Blog
Filed under:
Medicare
,
Population Health
,
Payment Policy
,
Insurance and Coverage
,
Organization and Delivery
,
Costs and Spending
,
ACOs
,
Medicare Shared Savings Program
,
MACRA
,
Bundled Payments
,
Accountable Care Learning Collaborative
Today’s Most Attractive National ACO Model Is Offered By…CMS
A large national payer recently announced the opportunity for Accountable Care Organizations (ACOs) to share in 100 percent of the savings they create for the payer’s largest book of business. Providers will have complete autonomy in how they manage the...
Published
Fri, Apr 04 2016 1:00 AM
by
Health Affairs BlogHealth Affairs Blog
Filed under:
Medicare
,
Hospitals
,
Population Health
,
Featured
,
Payment Policy
,
Insurance and Coverage
,
Organization and Delivery
,
Costs and Spending
,
Health Professionals
,
ACOs
,
MSSP
,
Medicare Shared Savings Program
,
Next Generation ACOs
,
value-based payment
Medicare Help At Home
Nine million community-dwelling Medicare beneficiaries—about one-fifth of all beneficiaries—have serious physical or cognitive limitations and require long-term services and supports (LTSS) that are not covered by Medicare . Nearly all have...
Published
Wed, Apr 04 2016 7:30 AM
by
Health Affairs BlogHealth Affairs Blog
Filed under:
Medicare
,
Quality
,
Palliative Care
,
Featured
,
Health Policy Lab
,
Insurance and Coverage
,
Organization and Delivery
,
Costs and Spending
,
Medicaid and CHIP
,
Equity and Disparities
,
Health Professionals
,
Long-term Services and Supports
,
ACOs
,
chronic conditions
,
Aging and Health
,
nursing homes
,
Medicare Help at Home
Value Pricing For Drugs: Whose Value, What Price?
It is hard to read a newspaper these days without coming across a story about the high and ever increasing cost of drugs. The Wall Street Journal named drug prices the top health story of 2015. Stories about drug prices fall into two general categories...
Published
Mon, Mar 03 2016 8:15 AM
by
Health Affairs Blog
Filed under:
Medicare
,
Featured
,
Costs and Spending
,
Drugs and Medical Technology
,
ACOs
,
Big Pharma
,
QUALY
,
value-based payment
,
PCSK9 inhibitors
,
high-cost drugs
,
cost effectiveness analysis
New Health Care Symposium: Building An ACO—What Services Do You Need And How Are Physicians Impacted?
Editor’s note: This post is part of a Health Affairs Blog symposium stemming from “ The New Health Care Industry : Integration, Consolidation, Competition in the Wake of the Affordable Care Act,” a conference held recently at Yale Law School’s Solomon...
Published
Thu, Mar 03 2016 9:46 AM
by
Health Affairs Blog
Filed under:
Medicare
,
Quality
,
Hospitals
,
Population Health
,
Payment Policy
,
Organization and Delivery
,
Costs and Spending
,
Health Professionals
,
ACOs
,
Massachusetts
,
Pioneer ACO program
,
Yale Health Care Industry Symposium
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