RevCycle Intelligence June 18, 2020
Jacqueline LaPointe

The accountable care organization model would need to prevent patient selection to realize savings from value-based payments in the federal healthcare program, the Commission reports.

With Medicare spending growing at an unsustainable rate, the Medicare Payment Advisory Commission is advising Congress to accelerate the transition to value-based payment, using accountable care organizations (ACOs) and Medicare Advantage as vehicles. However, both models will need to be improved to realize potential savings, the Commission stated.

“While these programs may be capable of reducing spending relative to the FFS program, whether they actually produce substantial savings depends heavily on how they are structured,” the June 2020 report to Congress stated.

The fee-for-service system is no longer a viable option for Medicare. Spending on...

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