Login

Forgot password?
Sign up today and your first download is free.
REGISTER

Spotlight on ACOs

January 11, 2016 | Daily News

CMS announced Monday (Jan. 11) that 121 new provider groups became Medicare accountable care organizations, but the release also reveals that 64 ACOs dropped out of the Medicare Shared Savings Program and some organizations either dropped out of the Pioneer ACO demonstration or moved to other ACO models.

January 05, 2016 | Daily News

CMS is testing whether paying third parties to line beneficiaries up with social services improves care and reduces spending on clinical services, and an agency official said he hopes the demo convinces provider organizations, such as accountable care organizations, to include social services in their strategies for keeping patients healthy.

January 04, 2016 | Daily News

The White House Office of Management and Budget entered 2016 with 10 CMS rules and notices under its review, ranging from Medicaid home health face-to-face requirements to revised benchmaking methodology for Accountable Care Organizations.

December 08, 2015 | Daily News

Johnson & Johnson wants to include Part D drug spending in the Merit-Based Incentive Payment System, which is part of the new physician pay scheme under development by CMS, because it fears that excluding retail drug spending would cause providers to prescribe Part D drugs when better Part B drugs are available.

November 04, 2015 | Daily News

The head of the accountable care organization trade group says ACOs are interested in CMS' enhanced Medication Therapy Management program, which the agency says should complement the ACOs' work, but that ACOs will want to share in Part D savings if they contract with drug plans.

October 07, 2015 | Daily News

CMS announced Wednesday (Oct. 7) the participants in the dialysis accountable care organizations, and industry expects that later in the week the agency will announce details of the star-ratings program for end-stage renal disease.

September 14, 2015 | Daily News

Hospitals are urging CMS to waive major Medicare restrictions for providers participating in the proposed mandatory bundled-pay program and to put off penalizing hospitals until the third year of the effort.

August 27, 2015 | Daily News

The number of accountable care organizations is increasing and they are saving Medicare more money, according to a CMS release, but providers say the average savings per ACO declined, and they offered a tepid response to results from ACO performance in 2014 that CMS released Tuesday (Aug. 25).

July 22, 2015 | Daily News

CMS' success in shifting care away from hospitals is partly responsible for the estimated 52 percent increase of Part B premiums next year, which also would hit state budgets because they cover those premiums for dually eligible beneficiaries, senior administration officials told Inside Health Policy.

June 26, 2015 | Daily News

The Congressional Budget Office estimates that eliminating nearly $7 billion from CMS' innovation center actually raises spending by $31 billion over a decade because the center could no longer run demonstrations that CBO expects to curb Medicare spending, according to a private CBO score of the House HHS-spending bill obtained by Inside Health Policy.

June 26, 2015 | Daily News

The Congressional Budget Office estimates that eliminating nearly $7 billion from CMS' innovation center actually raises spending by $31 billion over a decade because the center could no longer run demonstrations that CBO expects to curb Medicare spending, according to a private CBO score of the House HHS-spending bill obtained by Inside Health Policy.

June 09, 2015 | Daily News

Although CMS gave in to some of providers' demands by letting ACOs renew contracts without the risk of penalties and at the same shared-savings rates, National Association of Accountable Care Organizations President and CEO Clif Gaus said he expects many ACOs to drop out of the Medicare Shared Savings Program because most of them aren't earning bonuses and CMS' new rule doesn't improve their situation.

June 08, 2015 | Daily News

Lobbyists say the Senate Finance Committee is considering marking up a number of bipartisan health care bills that touch on issues ranging from anti-fraud, waste and abuse legislation to observation status notification to rural accountable care organizations, though a list of bills said to be under consideration, obtained by Inside Health Policy, indicates that no final decision has been reached on what could come before the committee.

June 04, 2015 | Daily News

CMS on Thursday unveiled a highly anticipated final rule for the second round of applications for accountable care organizations that will serve as the vehicle for expanding the Pioneer ACO demonstration.

May 29, 2015 | Daily News

CMS on Tuesday (May 28) announced a heart attack prevention initiative that the agency says is the largest test to date of a Medicare value-based pay model, and the Bipartisan Policy Center separately recommended ways to pay doctors for counseling patients on how to prevent health problems.

May 06, 2015 | Daily News

The White House Office of Management and Budget is reviewing CMS' final rule for the next round of contracts in the accountable care organization program, according to OMB's website.

May 04, 2015 | Daily News

CMS announced Monday (April 4) that for the first time it is using authority under the Affordable Care Act to expand a demonstration, called the Pioneer Accountable Care Organization Model, even though many Pioneer ACOs dropped out of that demo.

March 25, 2015 | Daily News

HHS said more than 40 organizations and states have come up with specific goals for alternative pay models as President Barack Obama and HHS Secretary Sylvia Burwell kicked off the Health Care Payment Learning and Action Network Wednesday (March 25).

March 19, 2015 | Daily News

While CMS and Blue Cross Blue Shield of Massachusetts are touting the success of alternative payment models, a new study by the American Medical Association and RAND Corp. says alternative pay systems alone are not enough to improve patient care.

March 10, 2015 | Daily News

CMS announced Tuesday (March 10) a third type of accountable care organization that will be allowed to operate more like Medicare Advantage plans.

Pages