HealthLeaders Media May 17, 2018
Minimum patient thresholds and high investment levels can be hurdles for most regional health systems to participate in ACOs, but a new collaborative ACO could overcome those challenges.
Managing an ACO is tough.
Even in Medicare Shared Savings ACOs with no downside risk, providers who follow care protocols, ensure patients have yearly wellness visits, and effectively manage metrics to decrease spending on Medicare beneficiaries may learn that their ACO didn’t meet benchmarks, and they don’t qualify for a shared savings check.
Frustratingly, the reverse is also true.
Those who joined the program and made no substantive changes managing their patients sometimes meet targets and get the check.
What gives?
Small ACOs, huge risk
In large part, says Rachelle Schultz, president...
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