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Many Medicare ACOs Slow Spending but Few Earn Bonuses
Nearly half of the organizations in the CMS' largest test of accountable care slowed Medicare spending, but just 29 of 114 ACOs saved enough to receive bonus payments, the agency said.
Nearly half of the organizations in the CMS' largest test of accountable care slowed Medicare spending, but just 29 of 114 ACOs saved enough to receive bonus payments, the agency said.
Medicare launched its shared-savings program, one of two Medicare accountable care initiatives, in April 2012 with 27 organizations that agreed to try to save money and improve quality in exchange for the chance to keep some of the savings they produced. Three months later, the program added another 87 organizations.
Medicare spending was lower than projected among 54 of the ACOs during the first 12 months of the effort, the agency's interim data show. Twenty-nine ACOs reduced Medicare spending enough to keep a share of the savings. The ACOs produced shared savings of $126 million, and Medicare will see $128 million in savings, the CMS announced.
Read the full story here: http://bit.ly/1iPGAcq
Source: Modern Healthcare
Navigating Health Policy in an Election Year: Insights From Dr Dennis Scanlon
April 2nd 2024On this episode of Managed Care Cast, we're talking with Dennis Scanlon, PhD, the editor in chief of The American Journal of Accountable Care®, about prior authorization, price transparency, the impact of health policy on the upcoming election, and more.
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Exploring Medicare Advantage Prior Authorization Variations
March 26th 2024On this episode of Managed Care Cast, we're talking with the authors of a study published in the March 2024 issue of The American Journal of Managed Care® about their findings on variations in prior authorization use across Medicare Advantage plans.
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