Healthcare Innovation April 30, 2024
Pietje Kobus

Spending is beyond the control of any health system, NAACOS and other institutions stated.

On Monday, April 29, the National Association of Accountable Care Organizations (NAACOS), together with ten other healthcare provider organizations, sent a letter to the administrator of the Center for Medicare & Medicaid Services (CMS), Chiquita Brooks-Lasure, requesting that ACOs be held harmless from irregular Medicare spending beyond their control.

“In 2023, ACOs noticed significantly higher spending for two catheter codes,” the letter stated. “The Institute for Accountable Care analyzed Medicare claims for these two codes from the CMS Virtual Research Data Center and discovered a nearly 20-fold increase in just two years, with spending increasing from $153 million in 2021 to $3.1 billion in 2023. Furthermore,...

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Topics: ACO (Accountable Care), CMS, Govt Agencies, Insurance, Medicare, Payment Models, Primary care, Provider, Value Based
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