Currently Viewing:
National Association of ACOs Fall 2018
Allison Brennan Outlines the Greatest Challenges of the Proposed MSSP Changes
November 11, 2018
Stephen Nuckolls Discusses What May Change Under the Proposed Pathways to Success
November 10, 2018
Dr Katherine Schneider: MSSP Proposed Changes Will Be a Step Back on Path to Value
November 07, 2018
Dr Joe Antos: Attention Needs to Be on the Future Sustainability of Medicare
November 03, 2018
Dr Clif Gaus Discusses Measuring MSSP ACOs Savings
October 31, 2018
Dr Rob Fields: Proposed MSSP Changes Likely to Stifle ACO Movement, Increase Consolidation
October 30, 2018
Allison Brennan Highlights Areas of Opportunity With Proposed MSSP Changes
October 28, 2018
Dr Katherine Schneider Highlights How Proposed MSSP Changes Build Stability Into Program
October 27, 2018
Stephen Nuckolls Outlines His Greatest Challenges and Opportunities of the Proposed MSSP Changes
October 22, 2018
Dr Rob Fields Discusses Why More ACOs Might Turn to Medicare Advantage
October 21, 2018
Dr Joe Antos: Proposed MSSP Changes Not a Major Shift in Policy for ACOs
October 18, 2018
Allison Brennan: Trump's Administration Is Encouraging Risk, but Possibly Too Quickly
October 16, 2018
Dr Clif Gaus: Private Payer Engagement in ACOs Is Up
October 15, 2018
Currently Reading
Stephen Nuckolls: 2 Years Isn't Enough Time for an ACO to Take on Risk
October 14, 2018
Are Commercial Payers Experiencing Success With ACO Partnerships?
October 08, 2018
Predictability and Simplicity Needed to Help ACOs Take on Risk, Panelists Say at NAACOS
October 08, 2018
Dr Rob Fields Discusses How the Proposed MSSP Changes Impact Decisions Around ACOs
October 08, 2018
Dr Clif Gaus Highlights Excitement and Anxiety at NAACOS Fall 2018 Meeting
October 06, 2018
Tying Social Determinants of ACO Patients With High-Need, High-Cost Care
October 05, 2018
Innovative Strategies Can Boost ACO Provider Engagement, Performance
October 05, 2018
Dr Joe Antos: CMS' Proposed MSSP Changes Don't Account for Variability in Healthcare
October 04, 2018

Stephen Nuckolls: 2 Years Isn't Enough Time for an ACO to Take on Risk

The proposed changes to the Medicare Shared Savings Program that move accountable care organizations (ACOs) to take on risk in just 2 years is not going to be enough time for most ACOs, although some may be ready in that time, said Stephen Nuckolls, CEO of Coastal Carolina Quality Care.


The proposed changes to the Medicare Shared Savings Program that move accountable care organizations (ACOs) to take on risk in just 2 years is not going to be enough time for most ACOs, although some may be ready in that time, said Stephen Nuckolls, CEO of Coastal Carolina Quality Care.

Transcript

Previous research has shown that ACOs that are doing it longer, perform better. Do you think the shorter 2-year timeline to take on risk provides enough time for ACOs to figure it out?

[CMS has] drastically shortened the time period from 6 years to 2 years. I know for our ACO, we did not achieve savings in the first 3-year contract period, and if we had been then required to take on risk after 2 years after just seeing just the first year’s results, I don’t think our ACO would still be an ACO. We would have dropped out of the program.

I don’t believe that’s enough time. And I think we were able to move a lot more quickly as a small ACO than some of the larger systems. I think ACOs are going to need more time to get ready for risk.

Some may be ready in that period of time, but there are many different things that go on with how you formulate the benchmark and how the benchmark impacts local markets, and it’s less about being ready for risk and knowing what the risks are, evaluating the risks to see what your odds of success are and what the probabilities are.

 
Copyright AJMC 2006-2018 Clinical Care Targeted Communications Group, LLC. All Rights Reserved.
x
Welcome the the new and improved AJMC.com, the premier managed market network. Tell us about yourself so that we can serve you better.
Sign Up
×

Sign In

Not a member? Sign up now!