HealthLeaders Media February 13, 2017
Payers and providers alike must adapt to leaner business models and patient populations that are older and frailer than a general patient population.
Medicare and commercial accountable care organization (ACO) models are not created alike.
MaineHealth ACO, which generated a Top 10 shared savings payment in the first performance year of the Medicare Shared Savings Program, has found that participating in MSSP is more financially challenging than commercial ACO contracts.
“From a financial perspective, our commercial payers are willing to help support the work that we do; so they see the value in our care management programs and the work that we do to integrate our physician practices,” says Jen Moore, chief operating officer of MaineHealth ACO, based in Portland,...
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