By encouraging more providers to take on risk faster, the current administration may actually be disincentivizing providers from participating at all, which would reduce the number of accountable care organizations (ACOs), said Allison Brennan, MPP, senior vice president of government affairs for the National Association of ACOs.
By encouraging more providers to take on risk faster, the current administration may actually be disincentivizing providers from participating at all, which would reduce the number of accountable care organizations (ACOs), said Allison Brennan, MPP, senior vice president of government affairs for the National Association of ACOs.
Transcript
In what ways has the current administration encouraged or discouraged providers from taking on more risk?
The current administration is definitely encouraging providers to assume more accountability in the form of risk. We’ve seen this in a number of difference ways. There really is an emphasis to assume risk more quickly, and that’s something that I think we’re troubled by, but they view increased accountability as one of the main ways to reduce costs. I think we’re pushing back on that notion because we see a lot of really great work being done by our members to reduce costs and improve quality before they’re in a risk-based model.
One thing I would also note is that I think in a way the current administration has discouraged moving to risk by proposing to make the pipeline for ACOs, sort of, diminished. So, if we have fewer ACOs that are incentivized to enter the program, I think long term we’ll see fewer ACOs that are ready to take on risk.
So, it’s sort of a little bit of a catch 22: by pushing people into risk too fast, you may actually disincentivize them from participating at all.
Oncology Onward: A Conversation With Thyme Care CEO and Cofounder Robin Shah
October 2nd 2023Robin Shah, CEO of Thyme Care, which he founded in 2020 with Bobby Green, MD, president and chief medical officer, joins hosts Emeline Aviki, MD, MBA, and Stephen Schleicher, MD, MBA, to discuss his evolution as an entrepreneur in oncology care innovation and his goal of positively changing how patients experience the cancer system.
Listen
HMO and EPO Insurance Plans More Likely to Promote Use of Biosimilars
November 21st 2023Health plan type highly influences the likelihood of biosimilar uptake, with low-flexibility insurance plans more likely to have patients who either switched to a biosimilar or were initiated on a biosimilar.
Read More
Nathan Walcker Discusses Value-Based Oncology Care Initiatives at FCS
September 8th 2023Nathan Walcker, CEO at Florida Cancer Specialists & Research Institute (FCS), highlights some of the recent partnerships and initiatives at FCS to improve community-based oncology care from a value-based perspective.
Listen
What We’re Reading: UnitedHealth Lawsuit; Fentanyl Crackdown; Global Heat Deaths Increase
November 15th 2023A class action lawsuit was filed against UnitedHealth Group and a subsidiary for allegedly using an algorithm to deny rehabilitation coverage for seriously ill patients; US and China officials are finalizing an agreement to crack down on fentanyl; a study published Tuesday projected global heat deaths to increase by 370% if no action is taken against global warming.
Read More