Lexology June 19, 2020
Sheppard Mullin Richter & Hampton LLP

According to an April 13, 2020 Press Release issued by the National Association of ACOs (“NAACOS”), a recent NAACOS survey shows that 56% of the survey-participating at-risk accountable care organizations (“ACOs”) – i.e., ACOs participating in a Center for Medicare and Medicaid Innovation (“CMMI”) alternative payment model (“APM”) and assuming financial risk thereunder – said that they were likely to drop out of their APM because of their fear of having to cover massive losses resulting from the COVID-19 pandemic. In addition, the survey revealed that, as a result of swings in unpredictability and spikes in expensive hospitalizations, 21% of at-risk ACOs were “very likely” to leave the Medicare ACO program, 14% said they were “likely,” and another 21% said...

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