decisionhealth Newsletters, Part B News - 2023 Issue 2 (February)
CMS wants total ACO Medicare by 2030. Experts aren’t so sure.
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Article Overview
This article examines CMS’s reported growth in Medicare accountable care organization programs and its plan to connect all Traditional Medicare beneficiaries to an accountable care relationship by 2030. It discusses the current direction of major ACO models, the role of value-based care incentives, and the broader expansion of accountable care into specialty and equity-focused models. It is relevant to health policy readers, Medicare-focused provider organizations, and revenue cycle or managed care professionals tracking CMS innovation efforts.
Why This Topic Matters
CMS’s accountable care strategy affects how Medicare beneficiaries are organized into value-based care relationships and how providers participate in alternative payment models. The article helps readers understand the policy momentum, the areas where CMS is expanding participation, and the concerns experts raise about whether the 2030 goal is achievable.
Article Sections
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ACO program growth and CMS outlook
Summarizes CMS-reported participation trends across its major accountable care programs and the agency’s outlook for continued expansion.
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MSSP lags, for now
Discusses the current state of the Medicare Shared Savings Program, including participation trends and policy changes intended to encourage future growth.
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All-ACO in 2030?
Covers CMS’s 2030 accountable care goal and reactions from industry experts and medical group leaders about whether the target is realistic.
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Specialty care outreach
Explores CMS’s expansion of accountable care concepts into specialty care, with emphasis on equity, nephrology, and broader innovation-center strategy.
What You Will Learn
- How CMS is framing growth in its Medicare accountable care programs
- Why experts are divided on CMS’s 2030 accountable care goal
- How specialty and equity-focused models fit into CMS’s broader ACO strategy
- What policy themes are influencing participation in Medicare value-based care models
Who Should Read This
- Medicare providers
- Health system executives
- Medical group administrators
- Managed care and value-based care professionals
- Health policy analysts
- Revenue cycle and reimbursement teams
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