Healthcare Finance News September 15, 2020
Susan Morse

Organizations such as the National Association of ACOs urge reforms to increase ACO growth and savings.

In 2019, 541 accountable care organizations in the Medicare Shared Savings Program generated $1.19 billion in total net savings to Medicare, the largest annual savings for the program to date, according to Centers for Medicare and Medicaid Services Administrator Seema Verma.

ACOs that took on downside financial risk outperformed ACOs that did not, with net per beneficiary savings of $152 per beneficiary compared to $107 per beneficiary, Verma said.

“Low-revenue” ACOs, typically led by physicians who mostly provide outpatient services, have generally performed better than “high-revenue” ACOs, generally led by hospitals that tend to provide both inpatient and outpatient services, Verma said...

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Topics: ACO (Accountable Care), CMS, Govt Agencies, Health System / Hospital, Insurance, Medicare, Payment Models, Physician, Primary care, Provider, Value Based
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