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CMS wants ACOs to take on more risk. Here's how.

August 13, 2018


CMS is proposing replacing the current Medicare Shared Savings Program tracks with two options that accelerate the pathway for accountable care organizations to transition to two-sided risk models.

How CMS wants to change Medicare's Physician Fee Schedule in 2019

July 13, 2018


CMS' Medicare Physician Fee Schedule proposed rule includes an initial 3% reduction in Medicare Part B payments for new drugs, new codes to expand providers' telehealth billing options, and more.

Verma: CMS 'cannot afford' to maintain ACOs that do not assume two-sided financial risk

May 9, 2018


CMS Administrator Seema Verma says the agency is closely examining accountable care organizations in the Medicare Shared Savings Program that have not yet agreed to assume two-sided financial risk, noting that such organizations appear to have increased Medicare spending.

CMMI meets 2015 payment model goal—but recommends few programs for expansion, GAO finds

April 30, 2018


The Government Accountability Office finds CMS has expanded two of the 37 care delivery and payment models it has implemented since November 2010.

Walmart and Emory launched an ACO. Here's what you need to know.

April 24, 2018


Walmart and Emory Healthcare are partnering to launch an accountable care organization to serve Walmart employees in Atlanta, and Walmart also will send certain employees to Emory facilities for spine and joint replacement surgeries.

ACOs were supposed to save billions. But did they actually raise federal costs by $400M?

April 3, 2018


An Avalere analysis finds accountable care organizations (ACOs) participating in the Medicare Shared Savings Program increased federal spending by $384 million from 2012 to 2016, but observers question whether the CMS data analyzed accurately represent ACO performance.

Why 7 ACOs dropped out of Medicare's Next Generation ACO Model

March 28, 2018


Four of the seven accountable care organizations (ACOs) that withdrew from Medicare's Next Generation ACO Model say they left the program because of recent changes to the model's design.

17 new systems opt into Next Generation ACO model

January 22, 2018


With the addition of the 17 new systems and the loss of three prior participants, the Next Generation ACO model now has 58 participants, according to CMS.

CMS: 124 new provider groups join MSSP for 2018

January 9, 2018


Clif Gaus, CEO of the National Association of ACOs, says, "The growth of [accountable care organizations (ACOs)] in 2018 shows the continued commitment from the [Trump] administration to increase value in the Medicare program through ACOs," and is an "encouraging sign" of providers' willingness to take on more financial risks.

How medical groups say their Medicare revenue could change by 2019

December 15, 2017


Respondents to AMGA's annual survey say they expect nearly 60% of their Medicare revenues will be tied to risk-based contracts in 2019.

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