Health Affairs February 24, 2023
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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