Healthcare DIVE July 25, 2019
Linda Wilson

Dive Brief:

  • CMS should evaluate the impact of a new rule for the Medicare Shared Savings Program on accountable care organizations’ ability to achieve cost and quality outcomes as well as their willingness to participate in the program, according to the HHS Office of the Inspector General. Finalized in December, the rule cut the time ACOs participating in MSSP had to avoid taking on downside financial risk.
  • OIG also suggested CMS adopt outcomes-based performance measures whenever possible — rather than process measures — and standardize measures across programs.
  • The watchdog department also said CMS should evaluate the effectiveness of a waiver that gives some ACOs more flexibility over when they send patients to a skilled nursing facility. Based on...

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Topics: ACO (Accountable Care), CMS, Govt Agencies, Health System / Hospital, HHS, Insurance, Market Research, Medicare, OIG, Payment Models, Physician, Primary care, Provider, Trends, Value Based
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