Upside-only MSSP ACOs, unwilling to assume downside financial risk, confront CMS proposed changes for 2019

By Akshita Singh | October 19, 2018 at 5:09 PM

The Medicare Shared Savings Program (MSSP) launched in 2012 and has since grown from 27 ACOs to now 561 covering around 10.5 million beneficiaries in 2018. In August this year, CMS proposed an overhaul to MSSP in order to promote more downside financial risk assumption among ACOs - essentially proposing to give ACOs significantly more financial skin in the game. Perhaps unsurprisingly, ACOs are pushing back.


Unpacking “Savings” Concepts at Accountable Care Organizations

By Dan Kamyck | October 18, 2017 at 1:33 PM

The meaning of the term “savings” for an ACO continues to generate some confusion. There are actually a few ways to measure savings, and the concepts can be surprisingly challenging. It doesn’t help that the evidence base for these savings concepts is still emerging. This leads some people to question why should we continue the ACO experiment. A new blog article on Health Affairs explains why ACOs still deserve a shot.


Three Care Models to Know: Presentations from the 2017 CAPG Conference

By Dan Kamyck | June 27, 2017 at 7:52 PM

CAPG's Annual Conference in California attracts national industry leaders from top medical groups, independent practice associations, hospitals, health plans, and government who come together to share and learn about the latest trends in capitated, coordinated healthcare. 

Among the many presenters were executives from three leading healthcare organizations, each presenting their successes and lessons learned in care redesign and innovative care delivery models.


Nearly 1 million Medicaid beneficiaries to be served by ACOs in Massachusetts, starting January 2018

By Dan Kamyck | June 13, 2017 at 5:48 PM

In the largest change to Massachusetts Medicaid (MassHealth) in 20 years, the state has named the 18 accountable care organizations selected to care for 900,000 MassHealth members. Following a successful pilot program, the new MassHealth ACO program will roll out across the state in January 2018.

Thomas Barker, attorney at Foley Hoag, told Boston Business Journal that no other state is moving as aggressively as Massachusetts to shift its Medicaid program to accountable care - “this is the state saying we’re progressing along, we’re not slowing down.”


Webinar Recap: Accountable Care Business Models for Rural Hospitals

By Dan Kamyck | May 22, 2017 at 3:18 PM

Melinda Abrams of The Commonwealth Fund on Monday led an exploration of the ways some rural communities are innovating to meet the complex health and social needs of their older and sicker populations.

Five experts: Melinda Abrams is the VP of Delivery System Reform for The Commonwealth Fund. On Monday's webinar she was joined by four senior leaders from the National Rural Health Association, Caravan Health, Margaret Mary Health in Indiana, and Neshoba Hospital in Mississippi. Here's what they said (234 words):