Health Affairs July 1, 2024
Shriram Parashuram, Woolton Lee, Kathleen Rowan, Yue Gao, Erin Ewald, Devi Chelluri, Jackie Soo, Kan Gianattasio, Liyang Xie, Erin Brantley, Bryan E. Dowd, Roger Feldman, Kristina Lowell

Abstract

The Next Generation Accountable Care Organization (NGACO) model (active during 2016–21) tested the effects of high financial risk, payment mechanisms, and flexible care delivery on health care spending and value for fee-for-service Medicare beneficiaries. We used quasi-experimental methods to examine the model’s effects on Medicare Parts A and B spending. Sixty-two ACOs with more than 4.2 million beneficiaries and more than 91,000 practitioners participated in the model. The model was associated with a $270 per beneficiary per...

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