Healthcare Finance News October 17, 2017
Susan Morse

This is despite seven Next Gen ACOs having lost money, three had dropped out in 2016 due to financial targets they said were set too high.

The Next Generation and Pioneer ACO models earned payments for 11 out of 18 health systems participating in Next Generation in 2016 and for six out of eight in Pioneer.

Seven Next Generation ACOs lost money, according to the Centers for Medicare and Medicaid Services. Three had dropped out in 2016 due to financial targets they said were set too high to earn savings.

[Also: ACOs score high on MIPS, but low on payment adjustment]

But three-quarters of Next Generation ACOs in 2016 reaped financial rewards from the risk program, from a low...

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Topics: ACO (Accountable Care), CMS, Health System / Hospital, Medicare, Payer, Physician, Population Health Mgmt, Primary care, Provider, RCM (Revenue Cycle Mgmt)
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