Tag: ACO

CMS Extends Next Generation ACO Model, Provides Flexibilities for Participants

On Friday, June 5, the Centers for Medicare and Medicaid Services (CMS) Innovation Center announced a series of updates to the Next Generation ACO model timeline and financial methodology. The model was initially set to conclude at the end of this ye...

CMS Issues MSSP ACO Policy Changes in New Interim Final Rule

On April 30, the Centers for Medicare and Medicaid Services (CMS) released a second Interim Final Rule and additional waivers related to Accountable Care Organizations (ACOs) in the Medicare Shared Savings Program (MSSP). For ACOs in two-sided ri...

CMS Updates QPP Resources

The Centers for Medicare and Medicaid Services (CMS) uploaded new and updated materials to the Quality Payment Program (QPP) Resource Library:

  • 2019 CMS Web Interface User Guide
This guide provides additional information on a...

MedPAC Discusses Restructuring Medicare Benefits and Votes on Payment Update Recommendations

The Medicare Payment Advisory Commission (MedPAC) met on January 16 and 17 to vote on payment update recommendations and to discuss other recommendations to update the Medicare program. The Commission will include payment updates and other recommenda...

MedPAC Releases Agenda for January 2020 Public Meeting

The Medicare Payment Advisory Commission (MedPAC) has posted the agenda for the next public meeting scheduled for January 16-17, 2020. MedPAC staff is scheduled to present on the Medicare Advantage quality bonus program and beneficiary alignment with...

CMS Announces New ACO Participation and Savings Numbers

In a blog post, Centers for Medicare and Medicaid Services (CMS) Administrator Seema Verma touted the uptick in participation in two-sided risk arrangements in the redesigned Medicare Shared Savings Program for Accountable Care Organizations (ACOs),...

CMS Publishes Beneficiary Engagement Toolkit for ACOs

As part of a larger campaign to inform the public about accountable care organizations (ACOs), the Centers for Medicare and Medicaid Services (CMS) launched a new toolkit highlighting how ACOs and end-stage renal disease (ESRD) seamless care organiza...

ACO Investment Model Second Annual Report Posted

The Center for Medicare and Medicaid Innovation (the Innovation Center) posted the second annual report for the Accountable Care Organization (ACO) Investment Model (AIM). This investment model was developed in response to concerns from providers abo...

CMS Releases New ACO Case Studies

The Centers for Medicare and Medicaid Services (CMS) has released three new cases studies highlighting Accountable Care Organizations (ACOs) participating in the Next Generation ACO Model and the Medicare Shared Savings Program. The case studies feat...

CMS Announces New MSSP ACOs

In a Health Affairs blog post, the Centers for Medicare and Medicaid Services (CMS) Administrator Seema Verma shared accountable care organization (ACO) participation information for the July 1 Medicare Shared Savings Program (MSSP) start date. CMS a...

CMS Responds to ACO Concerns About Smoking Cessation Quality Measure

In response to concerns voiced by Accountable Care Organizations (ACOs), the Centers for Medicare and Medicaid Services (CMS) recently announced that it will change a tobacco-use quality measure from a pay-for-performance measure to a pay-for-reporti...

2018 MIPS Final Scores Impacting 2020 Medicare FFS Payments Now Available

The Centers for Medicare and Medicaid Services (CMS) released final scores for the 2018 Merit-based Incentive Payment System (MIPS). An eligible group or individual clinician’s performance in the 2018 MIPS program will result in upward, downward or...

MedPAC Releases June 2019 Report to Congress: Considers a Number of Payment Innovations for Clinician Payment, Medicare Advantage and Part B Drugs

On June 14, 2019, the Medicare Payment Advisory Commission (MedPAC) released its June 2019 Report to the Congress: Medicare and the Health Care Delivery System. Each June, as part of its mandate from the Congress, MedPAC reports on issues affecting t...

OIG Report Finds Challenges with ACO Care Coordination

The Office of Inspector General (OIG) held site visits and interviews at six accountable care organizations (ACOs) – four participating in the Next Generation ACO model and two in the Medicare Shared Savings Program – to evaluate how ACOs are usi...

NOIA Submission Period for Medicare Shared Savings Program Begins June 11

The Centers for Medicare and Medicaid Services (CMS) announced the Notice of Intent to Apply (NOIA) and application cycle dates for a January 1, 2020 start date for the Medicare Shared Savings Program Pathways to Success. Beginning June 11, 2019, CMS...

CMS Posts Letter of Intent for Direct Contracting Models

The Centers for Medicare and Medicaid Services posted the letter of intent (LOI) for organizations interested in either the Professional Population Based Payment or Global Population Based Payment options of the new Direct Contracting model. The LOI ...

ACO Application Opens for Medicare Shared Savings Program

The Centers for Medicare and Medicaid Services (CMS) announced the Notice of Intent to Apply (NOIA) and application cycle dates for a January 1, 2020, start date for the Medicare Shared Savings Program Pathways to Success. Beginning June 11, 2019, CM...

CMS Releases ACO Care Coordination Toolkit

CMS released a public Accountable Care Organization (ACO) Care Coordination Toolkit and a series of case studies that highlight the work of ACOs and End-Stage Renal Disease Care (ESRD) Seamless Care Organizations (ESCOs) participating in the Shared S...

Innovation and Quality Highlights from MedPAC April 2019 Meeting

The Medicare Payment Advisory Commission (MedPAC) met on April 4 to 5, 2019, in Washington, DC. MedPAC discussed a number of innovation and quality topics at this meeting.

  • Medicare Advantage Encounter Data: MedPAC voted to recommend...

    DelBene Leads Letter to CMS to Delay MSSP Application Timeline

    Representative Suzan DelBene (D-WA) sent a letter asking the Administration to extend the application timeline for the new Pathways to Success, Medicare Shared Savings Program Accountable Care Organizations. Representatives Mike Kelly (R-PA), Markway...

    MSSP Final Rule Seeks to Accelerate Move to Performance-based Risk in Traditional Medicare

    The Centers for Medicare and Medicaid Services published a final rule on December 31, 2018, that overhauls the Medicare Shared Savings Program and takes a new approach to transitioning providers to performance-based risk arrangements in traditional M...

    CMS Releases Final Rule Overhauling Medicare ACO Program

    Today the Centers for Medicare and Medicaid Services released the Medicare Shared Savings Program; Accountable Care Organizations Pathways to Success and Extreme and Uncontrollable Circumstances Policies for Performance Year 2017 (CMS-1701-F2 and CM...

    Upcoming QPP Webinars

    The Centers for Medicare and Medicaid Services (CMS) has scheduled several Quality Payment Program (QPP) webinars.

    Physician Compare
    CMS is hosting a webinar on Physician Compare. Participants will learn ...

    MedPAC Releases 2018 Payment Basics – A Series of Briefs on the Various Medicare Payment Systems

    The Medicare Payment Advisory Commission (MedPAC) recently released the 2018 Payment Basics, a series of briefs on the various Medicare payment systems. Medicare has more than 20 distinct systems for paying health care providers who serve Medicare be...

    CMS Releases 2017 MSSP ACO Performance Data

    The Centers for Medicare & Medicare Services (CMS) released a data set showing how Medicare Accountable Care Organizations (ACOs) performed in 2017.  Analysis of the data showed that ACOs saved $314 million for Medicare.  The results come as CM...

    CMS Releases Next Gen ACO Model Evaluation

    The Centers for Medicare & Medicaid Services (CMS) released the first annual report on the Next Generation Accountable Care Organization (ACO) model.  The report provides results from the 18 active Next Gens who participated beginning January 20...