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What providers like—and don't like—about CMS' proposal to overhaul MSSP

October 22, 2018


A few health care providers say they support some provisions of CMS' proposed rule to overhaul the Medicare Shared Savings Program, but many providers are voicing concerns.

Are MSSP ACOs hitting target savings? CMS says no, but a new report pushes back.

September 12, 2018


A new report from the National Association of ACOs finds that accountable care organizations (ACOs) participating in the Medicare Shared Savings Program generated $1.84 billion in savings between 2013 and 2015—nearly twice as much as the $954 million CMS data show the ACOs saved.

MSSP ACOs saved Medicare $313.7M last year, CMS data show

September 4, 2018


New CMS data show 60% of the accountable care organizations (ACOs) that participated in the Medicare Shared Savings Program for the 2017 performance year generated a total of about $1.1 billion in savings, while CMS paid about $780 million to ACOs in bonuses under the program for that year.

Next Generation ACOs saved $62M in first year, CMS says

August 28, 2018


CMS Administrator Seema Verma says the results for the Next Generation Accountable Care Organization (ACO) model's first performance year "provide further evidence that ACOs succeed under two-sided risk."

'Win-win': Why this Ohio hospital entered the real-estate business

August 27, 2018


Nationwide Children's Hospital over the last decade has invested more than $6 million in the nearby Southern Orchards neighborhood in Columbus, Ohio—and the arrangement is turning out to be beneficial both for the hospital and its patients.

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.

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