Health Affairs February 24, 2023
William K. Bleser, Frank McStay, David Muhlestein, Mark B. McClellan

Accountable care has been at the center of the evolution—and debate—around health care payment and delivery moving from “fee-for-service” (FFS) care to “value-based” care. The Centers for Medicare and Medicaid Services (CMS) recently reaffirmed a goal of speeding the uptake of accountable care: they aim to give all Medicare beneficiaries and half of Medicaid beneficiaries access to coordinated, longitudinal care through advanced accountable care relationships by 2030. This would represent a substantial acceleration in the pace of accountable care growth in the US over the past two decades: accountable care contracts currently amount to around 40 percent of US health insurance payments, with most in “shared savings” arrangements that still largely involve FFS.

This is also a challenging time...

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