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Spotlight on ACOs

June 16, 2021 | Daily News

Stakeholders on Tuesday (June 15) praised legislation that aims to improve the benchmarking process for accountable care organizations by taking an organization’s beneficiaries out of the calculation of a regional benchmark.

June 14, 2021 | Daily News

Center for Medicare and Medicaid Innovation Director Liz Fowler told stakeholders there needs to be uniformity across payers -- including CMS -- in how to gauge their health equity efforts and make them successful.

June 04, 2021 | Daily News

Center for Medicare and Medicaid Innovation Director Liz Fowler promised to keep Congress up to speed on what her center is up to one day after a bipartisan group of House lawmakers demanded she be transparent on how the agency determines demonstrations to be successful and work more closely with Congress and stakeholders on innovation efforts.

June 03, 2021 | Daily News

Center for Medicare and Medicaid Innovation Director Liz Fowler said Thursday (June 3) her center is in the midst of a strategic review of its demonstrations and plans to make conscious choices on how it invests, move to more mandatory models and focus on beneficiaries’ meaningful care relationships.

June 01, 2021 | Daily News

The National Association of Accountable Care Organizations on Tuesday (June 1) asked CMS Administrator Chiquita Brooks-LaSure to give ACOs more time to apply to participate in the Medicare Shared Savings Program in 2022, saying it is concerned with shrinking turnaround times for application information and deadlines that have been set sooner than usual.

May 21, 2021 | Daily News

CMS on Friday (May 21) said it will not extend the Next Generation Accountable Care Organization demonstrations beyond 2021, but it will allow participants in that demo to join the Global and Professional Direct Contracting (GPDC) Model in 2022, even though the agency had previously said it would not accept additional direct contracting applications for next year.

May 20, 2021 | Daily News

A bipartisan group of House lawmakers on Thursday (May 20) called on HHS Secretary Xavier Becerra to extend the Next Generation Accountable Care Organization demonstration, which is set to end this year, echoing some providers’ concerns that there will be no suitable alternative for demo participants after NextGen ACOs sunset.

May 18, 2021 | Daily News

America’s Phyician Groups’ Direct Contracting Coalition is defending the Trump innovation center’s direct contracting demonstrations in the face of concerns from four House lawmakers that the demo moves beneficiaries that opted for traditional Medicare to a Medicare Advantage-like model.

May 07, 2021 | Daily News

The America’s Physician Groups Direct Contracting Coalition is recommending ways to improve the direct contracting model in its first year and in future years, saying CMS’ decision to stop accepting additional applications and related issues are raising concerns.

May 05, 2021 | Daily News

The United States of Care is recommending the Center for Medicare and Medicaid Innovation branch out into more Medicaid-focused models, test Medicare Advantage care options within traditional Medicare and test virtual care in the wake of the COVID-19 pandemic in order to boost health equity.

May 04, 2021 | Daily News

Accountable care organizations are asking CMS to walk back its quality reporting revamp that is set to be fully implemented next year, with multiple groups saying the planned move to electronic quality reporting measures will create more work for ACOs, will cost ACOs a large amount of money upfront and won’t necessarily help with care.

April 27, 2021 | Daily News

Hospitals and health systems are pleased with a number of policies proposed by CMS in its fiscal 2022 inpatient hospital pay rule, including provisions allowing accountable care organizations to opt out of additional risk in fiscal 2022, repealing a requirement that hospitals share Medicare Advantage negotiated rates for services and temporarily suppressing certain quality measures the agency determined could have been affected by COVID-19.

April 20, 2021 | Daily News

Hospitals and Accountable Care Organizations are urging HHS Secretary Xavier Becerra to make the Next Generation Accountable Care Organization demonstration permanent -- or at least extend it beyond 2021 -- as they say those in the model don’t have good value-based care options after the demo ends.

April 20, 2021 | Daily News

Innovation center chief Liz Fowler asked accountable care organizations for patience as the Center for Medicare and Medicaid Innovation evaluates its models, and indicated the center needs to focus on transforming the health care system, not just certifying models to be a permanent part of Medicare.

April 13, 2021 | Daily News

Close to 50 accountable care organizations, health systems and others, led by America’s Physician Groups, are pushing CMS to reconsider its decision not to accept additional applications for two tracks of the Direct Contracting demo, saying those interested in the demo were ready to apply and the agency’s move is a “serious blow” to those organizations.

April 13, 2021 | Daily News

A handful of accountable care organizations joined dozens of health systems and others, led by America’s Physician Groups, in pushing CMS to reconsider its decision not to accept additional applications for two tracks of the Direct Contracting demo, saying those interested in the demo were ready to apply and the agency’s move is a “serious blow” to those organizations.

March 31, 2021 | Daily News

CMS pushed back its request for Accountable Care Organizations to submit applications to the Community Health Access and Rural Transformation (CHART) Model by a year, until spring 2022, to the disappointment of the ACOs.

March 05, 2021 | Daily News

Medicare Payment Advisory Commission staff found that rural beneficiaries have a harder time accessing specialty care than do urban beneficiaries, though the two groups reported similar satisfaction with overall care, and that a decline in inpatient admissions preceded rural hospital closures.

March 04, 2021 | Daily News

Congress’ Medicare pay advisors generally favored telling HHS to pare down the Center for Medicare and Medicaid Innovation’s collection of demonstrations and focus on a smaller number of more coordinated models -- though Chair Michael Chernew said the commission has a lot of work to do on alternative payment models.

March 02, 2021 | Daily News

Former Obama administration health staffer and Affordable Care Act architect Elizabeth Fowler officially took the helm of CMS’ powerful Center for Medicare and Medicaid Innovation Tuesday (March 2), shortly after the innovation center put the Trump-era's Geographic Direct Contracting model on hold and stakeholders proposed ways for the center to revamp the Radiation Oncology demo.

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