decisionhealth Newsletters, Part B News - 2015 Issue 6 (June)
Pioneer ACO test results inconclusive after two years, GAO report implies
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Article Overview
This article summarizes a Government Accountability Office review of early results from the Pioneer accountable care organization model. It is relevant to readers tracking Medicare payment innovation, accountable care policy, and program evaluation, because it discusses overall program performance, participant retention, and concerns raised about access, spending, and sustainability. The content is high-level and descriptive, focusing on the report’s broad findings rather than technical coding guidance.
Why This Topic Matters
It helps healthcare finance, compliance, and policy professionals understand how an important Medicare demonstration has performed so far and what issues were raised about its future viability.
What You Will Learn
- What the GAO reviewed in relation to the Pioneer accountable care organization model
- How early program results were characterized at a high level
- What kinds of policy concerns were raised about participant behavior and program sustainability
- Why the report may matter to Medicare payment and delivery-system reform stakeholders
Who Should Read This
- Healthcare administrators
- Medical coders and auditors
- Revenue cycle professionals
- Compliance professionals
- Health policy analysts
- ACO participants and leadership
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