Accountable Care Organizations News and Resources for Healthcare

ACOs Flock to CMS Shared Savings Program, NSA Averts Surprise Billing

January 31, 2024 - The CMS Medicare Shared Savings Program (MSSP) saw an uptick in accountable care organization (ACO) involvement. The agency announced that 480 ACOs are participating in the MSSP and 245 organizations are involved in two CMS Innovation Center ACO models. As a result of these and other efforts, nearly half of all Traditional Medicare...

How Advocate Health Keeps the Value-Based Care Momentum Going

October 16, 2023 by Jacqueline LaPointe

Value-based care adoption has hit a tipping point. More than half of all healthcare payments are tied to some level of quality or value measurement as of 2021, according to the latest data from the Health Care Payment Learning & Action...

How One ACO Used Predictive Analytics to Fuel Its VBC Efforts

September 25, 2023 by Kelsey Waddill

On this episode of Healthcare Strategies, Assistant Editor Shania Kennedy hears from Sheila Magoon, MD, executive director of Buena Vida y Salud ACO and the South Texas Physician Alliance, and David Clain, chief product officer at the...

Physician Engagement, Data Transparency Earn ACOs Shared Savings

October 10, 2022 by Jacqueline LaPointe

Privia Quality Network is one of the top earners of the Medicare Shared Savings Program, the federal government’s largest running accountable care organization (ACO) program. Across its four...

Walmart Looks to Expand Its Healthcare Presence to Self-Funded Plans

October 19, 2021 by Kyle Murphy, PhD

The leading retailer continues to make in-roads in the healthcare space, now with an offering aimed at self-funded employer health plans. Walmart Partnership Takes Aim Self-Funded Employer Health...

Advocate Aurora’s ACO Success Is Setting Up Value-Based Healthcare

October 04, 2021 by Jacqueline LaPointe

Accountable care organizations (ACOs) participating in the Medicare Shared Savings Program had a record performance year in 2020. The ACOs saved Medicare $4.1 billion while achieving an average quality...

CVS Health Study Highlights Mental Healthcare Woes; J&J Vaccine Effective Against COVID Delta Variant

July 08, 2021 by Kyle Murphy, PhD

While the pandemic shone a bright light on mental health, many Americans faced struggles accessing counseling services due to cost and other barriers. As Delta variant becomes the dominant strain of...

FDA Approves Biogen’s Alzheimer’s Drug; UHC to Not Pay for Unnecessary ED Visits

June 08, 2021 by Kyle Murphy, PhD

A heatwave has many across the country seeking shelter for a different reason. Stay cool out there! FDA APPROVES BIOGEN’S ALZHEIMER’S DRUG AFTER DEBATE The FDA has officially approved...

Increased Funding for Special Enrollment Period; CMS Recoups Payments, Delays Value-Based Care

April 07, 2021 by Emily Sokol, MPH

HHS promotes additional spending to advertise the Special Enrollment Period and make members aware of low-cost premium plans. And CMS begins recouping payments to providers, delays payments pending...

Downside of Automated Patient Messages; End in Sight for Surprise Billing

March 30, 2021 by Kyle Murphy, PhD

The pandemic has taught the healthcare industry a considerable deal about patient engagement, but it has also shown that too much of a good thing can turn patients away. While surprise billing was all...

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