During the process of a comprehensive study of private sector ACO
development and impact (McAlearney, Hilligoss, and Song 2017), the issue of how ACOs
conceptualize and operationalize the shift to value-based care emerged across sites and interviews.
The researchers found that MSSP participation was associated with differential spending reductions in physician-group ACOs
, with larger reductions tied to longer participation in the program.
"This environment has created a perverse incentive leading to the shocking present-day reality that, after 6 years, over 82% of shared saving program ACOs
are in an upside-only track, meaning that these ACOs
have no incentive at all to reduce health care cost while improving outcomes as they were intended," she said.
Women who had smoked more than the equivalent of a pack of cigarettes a day for five years, were much more likely to develop ACOS
than those who smoked fewer cigarettes or never smoked.
(SI), an innovator in data management and business intelligence solutions for healthcare, announced today that it has contracted with UPSA ACO
to build a platform designed specifically for the ACO
There are 15 fully functional ACOs
in Michigan, and nine are owned by the hospitals.
In Table 9 we have considered the asech[asech], asech[acos], acos[asech], acos
, acos[acos], and asech[exp] pulses for the cases when they do not obey the ranking rule based on fractional energy and values of the first and second derivative evaluated at t/T = 1.
The agency noted that another 83 ACOs
in the Shared Savings Program and two Pioneer ACOs
generated savings in 2015 but did not qualify for bonus payments.
MEASUREMENT IS NOT ENOUGH--Under the current models, Centers for Medicare and Medicaid Services (CMS) provides ACOs
with a number of different types of data from which to derive quality and cost performance metrics: paid health care claims, ACO
benchmark data, beneficiary demographics, chronic conditions (HCC scores) and attribution.
She called for the government to assure hospitals they can be in ACOs
without suffering from "the catastrophic loss of their tax-exempt status." The IRS conceded that the ACO
it ruled against was seeking to boost the quality of care, cut costs and improve the health of the community--the "triple aim" sought by President Obama.
In August 2015, the Centers for Medicare & Medicaid Services (CMS) released its 2014 financial and quality performance results for its Medicare ACOs
. According to CMS, ACOs
in its Pioneer ACO
Model and Medicare Shared Savings Program (MSSP) generated more than $411 million in total savings in 2014--which would seem to indicate that ACOs
are working, and working well.