Health Affairs May 30, 2020
Last month, as the scale and potential cost of the COVID-19 pandemic was becoming apparent, contributors to this blog wrote about likely disruptions to alternative payment models (APMs). Bleser and colleagues projected large new pandemic-related expenditures that could affect ACOs’ shared savings and lead to departures from the program. Alex Kazberouk pointed out numerous problems with payment rules in the Medicare Shared Savings Program (MSSP) and other Accountable Care Organization (ACO) models that would arise during a prolonged pandemic; he and recommended that payers eliminate downside risk for ACOs. Chaudhry and Tran further recommended suspension of financial risk across all Medicare APMs due to the widespread disruption of the US healthcare system created by COVID-19.
The Medicare Payment Advisory Commission...
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