Medicare Shared Savings Program

Why Accountable Care Organizations Should Adopt Bundled Payment

by Vera Gruessner

The Centers for Medicare & Medicaid Services (CMS) should consider allowing Track 1, 2, and 3 accountable care organizations (ACOs) to participate in cardiac and comprehensive joint replacement...

How Accountable Care Organizations Meet Quality Benchmarks

by Vera Gruessner

Accountable care organizations (ACOs) are relatively new patient care models that can operate with either public or private health payers. Initially, the Centers for Medicare & Medicaid Services...

Where the Medicare Shared Savings Program May be Lacking

by Vera Gruessner

The latest news from the Medicare Shared Savings Program and its associated accountable care organizations shows that some goals of the project have been gained such as ongoing cost savings and quality...

Primary Care, Coordination Drive Accountable Care Organizations

by Vera Gruessner

Within the new value-based care payment strategies being developed among healthcare providers, payers, and government agencies, accountable care organizations (ACOs) continue playing an important role...

Medicare Shared Savings Program Saved $466 Million in 2015

by Vera Gruessner

The Centers for Medicare and Medicaid Services (CMS) announced last week the quality and financial results of the 2015 Medicare accountable care organizations. According to a press release from CMS,...

Two Contrasting Opinions on Accountable Care Organizations

by Vera Gruessner

The Patient Protection and Affordable Care Act isn’t merely responsible for creating health insurance exchanges, eliminating pre-existing conditions or even expanding the Medicaid program. The...

Affordable Care Act, Accountable Care Display Success

by Vera Gruessner

With fairly large sects of the political spectrum opposing various provisions of the Patient Protection and Affordable Care Act as many as six years after its passage, it grows vital to examine whether...

Successful Accountable Care Organizations Use 3 Key Strategies

by Vera Gruessner

Health payers and providers who are seeking to form accountable care organizations will need to follow key steps in order to avoid the issues associated with these payment models and truly succeed in...

Accountable Care Organizations Rely on Population Health Data

by Vera Gruessner

Accountable care organizations (ACOs) are slowly becoming a mainstay of the healthcare industry, as more payers and providers are partnering through these care coordination programs and negotiating...

Population Health Vital for Medicare ACO Models to Succeed

by Vera Gruessner

Accountable care organizations (ACOs) have taken on a larger role in delivering services throughout the continuum of care. Initially, these establishments were created under the Medicare Shared Savings...

How to Strengthen Accountable Care Organizations, MSSP

by Vera Gruessner

Accountable care organizations (ACOs) continue to gain greater acknowledgement within the healthcare industry as the field transitions to value-based care reimbursement and moves away from the...

New Ruling in Medicare Shared Savings Program Changes Payment

by Vera Gruessner

As previously reported, the Centers for Medicare & Medicaid Services (CMS) have finalized a ruling that changes how the Medicare Shared Savings Program operates its payment protocols among...

Why Patients Need More than Reduced Healthcare Spending

by Vera Gruessner

Is lower healthcare spending truly tied to improved quality of care among hospitals? New research published in Health Affairs begs to differ when it comes to rewarding lower quality hospitals that...

What Are the Benefits of Accountable Care Organizations?

by Vera Gruessner

Accountable care organizations (ACOs) are provider and payer arrangements established to improve care coordination between primary care physicians, hospitals, specialists, and public or private health payers. The Centers for Medicare...

Why Accountable Care Organizations May not Succeed in MSSP

by Vera Gruessner

Do accountable care organizations (ACOs) truly save costs for the healthcare industry? Or is forming an ACO in hopes of cutting spending a pipe dream? Last year’s results from the Medicare Shared...

Top 3 Ways Accountable Care Organizations Could Garner Savings

by Vera Gruessner

Payers and providers looking to operate through an accountable care organization (ACO) will need to adhere strictly to state and federal laws regarding the development of this model of care....

Accountable Care Organizations Keep Growing Across US

by Vera Gruessner

The Patient Protection and Affordable Care Act led to the  development of the Medicare and Medicaid Innovation Center, which eventually brought the creation of accountable care organizations...

Beneficiary Incentive Programs Advance Patient Engagement

by Vera Gruessner

Did you know that between the years 1975 to 1985, average annual Medicare spending for each beneficiary rose from $472 to $1,579? This is an increase of 12.8 percent per year, according to The...

Medicare Shared Savings Program Seeks High ACO Performance

by Vera Gruessner

As part of the Patient Protection and Affordable Care Act, goals of improving the quality of healthcare services and reducing costs led to the creation of Accountable Care Organizations (ACOs) and the...