Medicare Shared Savings Program

A Look Inside the Four Most Common Value-Based Care Arrangements

January 25, 2024 - A simple explanation of value-based care is rewarding quality over quantity. However, value-based care arrangements differ in how they determine payments and the level of risk that is assumed. As healthcare organizations warm up to the idea of value-based care, CMS and commercial payers must choose which kind of arrangements they will offer to their provider partners. Value-based care...


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by Kelsey Waddill

The National Quality Forum (NQF) has launched a comment period related to quality measures in federal programs. “Conducting a thoughtful review of performance measures used in federal programs...

AHIP, Other Stakeholders Support Medicare Value-Based Care Bill

by Kelsey Waddill

In a joint letter to the four representatives who introduced the bill in the House of Representatives, payer and provider organizations have thrown their support behind the Value in Health Care Act of...

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by Jessica Kent

Just over half of accountable care organizations (ACOs) said they would consider leaving the Medicare Shared Savings Program (MSSP) if required to take on more downside risk, revealed a study published...

MSSP ACOs Taking on Downside Risk See Smaller Savings

by Thomas Beaton

Medicare Shared Savings Program (MSSP) ACOs that take on downside risk generate smaller savings than upside risk ACOs, according a Center for Healthcare Quality and Payment Reform (CHQPR) analysis. In...

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by Thomas Beaton

Payers offering insurance plans for the employer market need to provide flexible benefits and cost-saving strategies that create value for small businesses. Small businesses are an excellent market...

Top 4 Consumer Wellness Benefits for Payers to Add to Health Plans

by Thomas Beaton

As payers explore innovative ways to improve beneficiary engagement and satisfaction, they may wish to consider adding enhanced consumer wellness benefits to their health plan offerings. Health plans...

Payer Strategies for Boosting Consumer Engagement, Satisfaction

by Thomas Beaton

In an increasingly competitive health insurance environment, payers that can successfully increase consumer engagement and beneficiary satisfaction will be best positioned for success. David Biel, the...

Michigan MSSP Accountable Care Org Saves $8M for Medicare

by Thomas Beaton

The Physician Organization of Michigan Accountable Care Organization (POM ACO), a Medicare Shared Savings Program (MSSP) ACO, helped the state save $8 million dollars on Medicare expenses by reducing...

Blue Shield of CA to Offer Statewide Healthcare Provider Directory

by Thomas Beaton

Blue Shield of California plans to develop a statewide healthcare provider directory, with the help of Integrated Healthcare Association (IHA), that gives members access to current information on...

Medicare Shared Savings Program ACOs Cut Spending by $1 Billion

by Thomas Beaton

Accountable care organizations in the Medicare Shared Savings Program (MSSP) lowered net spending by $1 billion and could help control high expected Medicare spending in the future, a report from the...

Sick Members More Likely to Leave Medicare Advantage Plans

by Jesse Migneault

A recent study of the Medicare Advantage (MA) landscape shows that sicker members are leaving their plans in greater numbers than their healthy counterparts. The study by the non-partisan...

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by Jesse Migneault

As employers and payers move towards a more engaged preventive health environment, the use of workplace wellness programs have increased across the nation, according to results from a UnitedHealthcare...

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by Vera Gruessner

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Premier Offers Healthcare Policy Improvements for ACOs, Payers

by Vera Gruessner

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by Vera Gruessner

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by Vera Gruessner

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How MACRA Requirements Impact Accountable Care Organizations

by Vera Gruessner

MACRA legislation impacts a number of healthcare providers and entities including accountable care organizations (ACOs). Only a few Medicare accountable care organizations will actually be able to...

ACO Investment Model May Improve Care Delivery in Rural Areas

by Vera Gruessner

While healthcare reform and legislation like the Affordable Care Act have brought medical coverage to an additional 20 million Americans across the country, the patient community still faces some...