Becker's Healthcare October 22, 2021
The Next Generation ACO Model has saved Medicare $667 million in the last four performance years, but the model is operating at a loss with performance payouts, according to an evaluation of it released Oct. 21.
The model, established by CMS, is in its fourth year. It is testing whether strong financial incentives, flexible payment options and tools to support care management improve care quality and lower costs for Medicare beneficiaries. Participating ACOs assume 80 percent or 100 percent upside and downside risk.
The evaluation, commissioned by CMS, was conducted by researchers at the NORC at the University of Chicago, an independent, nonpartisan research institution.
Six key findings from the evaluation:
1. While the model has saved Medicare money, after...