decisionhealth Newsletters, Part B News - 2018 Issue 4 (April)
ACOs move slowly to full risk-sharing as spending targets come in above mark
Subscribe or sign in to view the full article.
Article Overview
This article covers current trends in Medicare accountable care organizations, with emphasis on how provider groups are moving through CMS value-based payment models and shared-savings arrangements. It discusses broad findings from Medicare spending analyses, the role of risk-sharing tracks, and the implications for provider participation, population health management, and federal spending projections. The piece is relevant to health care executives, coding and reimbursement professionals, compliance teams, and others tracking CMS alternative payment models and Medicare policy.
Why This Topic Matters
The article helps readers understand how Medicare’s accountable care model is evolving and why the pace of risk adoption matters for spending, provider incentives, and future payment policy. It is useful for organizations evaluating participation in CMS alternative payment models and monitoring trends in value-based reimbursement.
Article Sections
-
Accountable care organizations and Medicare Shared Savings Program participation
This section introduces the scale of ACO participation in Medicare’s shared-savings model and describes the overall direction of risk-sharing adoption.
-
Spending up in early going
This section summarizes research findings on Medicare spending trends associated with the program and discusses how experience level relates to performance over time.
-
Risk expected to grow
This section discusses broader policy implications for value-based payment models, future participation trends, and the expected continued emphasis on shared risk.
What You Will Learn
- How Medicare accountable care organizations fit into CMS value-based payment models
- What the article says about the pace of movement toward shared-risk arrangements
- Why Medicare spending projections and later performance trends are important
- How population health infrastructure relates to ACO performance
- What broader policy direction may affect future participation in value-based care models
Who Should Read This
- Health care reimbursement professionals
- Medical coders and coding managers
- Compliance teams
- Healthcare administrators
- Provider organization executives
- Payer and policy analysts
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com