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Spotlight on ACOs

March 30, 2018 | Daily News

Avalere reports that the Medicare Shared Savings Program has reduced Medicare spending less than the Congressional Budget Office projected it would in 2010, but boosters of accountable care organizations say the report’s methodology relies on program benchmarks that are designed to calculate provider bonuses, not measure savings.

March 22, 2018 | Daily News

The CMS review of one of the first alternative pay models to be recommended by an independent outside organization is moving along swiftly, CMS Administrator Seema Verma said Thursday (March 22), and the agency plans to help doctors deal with restrictions against self-referrals that providers say impede alternative payment model development.

March 15, 2018 | Daily News

House lawmakers announced Thursday (March 15) a bipartisan caucus that hopes to influence policy on provider pay models.

March 09, 2018 | Daily News

The National Association of Accountable Care Organizations is calling for patience after HHS Secretary Alex Azar said ACOs' performance has been underwhelming, with the group arguing an ACO's success should be defined by how the organization compares to other providers, not just to CMS benchmarks.

January 30, 2018 | Daily News

Hospital groups say providers don't know enough about CMS' new voluntary bundled pay model to decide whether to participate, and ask CMS to provide more information to those interested in the model by Feb. 15 and to push back the application deadline from March 12 to March 31.

January 22, 2018 | Daily News

Thirteen more accountable care organizations are participating in the Next Generation ACO model this year compared to 2017, according to CMS data.

January 12, 2018 | Daily News

The Medical Group Management Association is asking CMS to immediately let doctors know who is eligible for an exemption from the Merit-based Incentive Payment System in 2018 in light of new exceptions.

December 04, 2017 | Daily News

The White House Office of Management and Budget is reviewing an interim final rule on “Addressing Extreme and Uncontrollable Circumstances” for the Medicare Shared Savings program.

November 16, 2017 | Daily News

A former Obama administration CMS official said Monday (Nov. 13) she worries that the move away fee-from-service reimbursement and toward alternative pay models is losing momentum.

November 08, 2017 | Daily News

The Physician-Focused Payment Technical Advisory Committee chair and vice chair asked lawmakers on Wednesday (Nov. 8) to consider letting PTAC help doctors with technical aspects of alternative pay models, giving doctors in APMs more claims data and allow for limited small-scale testing of new models.

November 08, 2017 | Daily News

In another break from Obama-era policy, CMS plans to count participation in Medicare Advantage arrangements toward pay calculations in Alternative Payment Model Incentive Payments program, according to the Quality Payment Program rule.

November 06, 2017 | Daily News

The White House Office of Management and Budget on Thursday (Nov. 2) began reviewing a final rule that would shrink the mandatory Comprehensive Care for Joint Replacement demonstration and cancel the Episode Payment Models and Cardiac Rehabilitation incentive models.

November 03, 2017 | Daily News

Many of Congress’ Medicare advisers said Thursday (Nov. 2) they could support replacing the Merit-based Incentive Payment System with an alternative the commission is developing, but two commissioners disagreed.

October 31, 2017 | Daily News

More than half of the accountable care organizations in the Medicare Shared Savings Program reduced Medicare spending and nearly all of them scored at least 94 percent on quality measures, according to a Premier analysis of results CMS released Monday (Oct. 30).

October 19, 2017 | Daily News

Accountable care organizations in the Medicare Shared Savings Program and three ACO demonstrations collectively saved Medicare $70.6 million in 2016 after ACO bonuses are taken into account, a CMS spokesperson said.

October 19, 2017 | Daily News

Accountable care organizations in the Medicare Shared Savings Program and three ACO demonstrations collectively saved Medicare $70.6 million in 2016 after ACO bonuses are taken into account, a CMS spokesperson said.

October 05, 2017 | Daily News

Specialists are getting help from House Republican lawmakers in their quest to exclude the cost of drugs they administer from the calculation of their Medicare bonuses and penalties.

October 02, 2017 | Daily News

Specialty doctors are lobbying Congress to exclude the cost of drugs they administer from the calculation of their Medicare bonuses and penalties because the therapies are often expensive and would result in volatile swings in reimbursement.

August 29, 2017 | Daily News

The HHS Office of Inspector General reported Tuesday (Aug. 29) that Medicare accountable care organizations saved the program nearly $1 billion over the first three years of the Medicare Shared Savings Program.

June 20, 2017 | Daily News

CMS proposed Tuesday (June 20) to exempt more doctors from the performance measures of Medicare's new physician pay rule, delay measuring doctor performance on cost, allow doctors in small and rural practices to form “virtual groups,” award bonus points to the performance scores of doctors in small practice and delay a required upgrade to physicians' electronic health record systems.

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