Tag: ACOs

MedPAC Discusses Innovation Improvements and Mandated Report to Congress

The Medicare Payment Advisory Commission (MedPAC) met on March 5-6 to consider presentations and recommendations from MedPAC staff related to quality improvement, risk adjustment and payment innovation. Addressing Medicare Shared Savings ...

CMS Releases Evaluation Reports on Payment Models Including MSSP, CPC+, ESRD CEC Model, and Dual Eligibles

MSSP Saves $739.4 Million in 2018 Recently released performance results show that the Medicare Shared Savings Program (MSSP) generated $739.4 million in total net savings across 548 accountable care organizations (ACOs) in 2018. In a Health ...

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...

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...

Administration Announces New Innovation Center Models

The Centers for Medicare and Medicaid Services (CMS) and the Center for Medicare and Medicaid Innovation (Innovation Center) announced two new pathways encompassing five new payment models intended to move organizations toward value based payments an...

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...