Category: Accountable Care Organization (ACO)

Executive Summary: Tracking Telehealth Changes State-by-State in Response to COVID-19 – September 2020

As the COVID-19 pandemic continues across the United States, states, payers, and providers are looking for ways to expand access to telehealth services. Telehealth is an essential tool in ensuring patients are able to access the healthcare services they need in as safe a manner as possible. In order to...

Medicare Shared Savings Program Saved a Record $1.19B in 2019

CMS also reported that ACOs in the Medicare Shared Savings Program saved more under new Pathway to Success tracks and if they assumed downside risk. By Jacqueline LaPointe September 15, 2020 – Medicare Shared Savings Program (MSSP) generated $1.19 billion in total net savings to Medicare in 2019, representing the third consecutive...

CMS Releases E&M Updates, Expands Telehealth, Makes ACO Changes

Among the changes announced this week include the expanded use of telehealth in Medicare, giving payment parity to hospital outpatient surgery centers, simplifying evaluation and management codes, and changing performance measures for accountable care organizations (ACOs). Among a swath of proposed policy and payment changes announced this week by...

ACOG Gains Ground on Expanding Telehealth

As part of ACOG’s ongoing advocacy efforts to ensure expanded access to telehealth services, we endorsed the Protecting Access to Post-COVID-19 Telehealth Act of 2020 H.R. (7663). This bill, endorsed by the House Telehealth Caucus with bipartisan support, would remove outdated Medicare restrictions on telehealth, and expand coverage after the COVID-19 public health...

Which Telehealth Changes Will Become Permanent? Hints May Come Next Month

Four months since the start of the public health emergency arising from the coronavirus disease 2019 (COVID-19) pandemic, one of the most acknowledged silver linings for providers and patients is the expanded use of telehealth. During a session on telehealth at the National Association of ACOs (NAACOS) 2020 Virtual...

CMS Loosens Restrictions on Telehealth for Certain Shared-Risk ACOs

In a rule announced last month, CMS is giving certain ACOs at risk of owing money back to Medicare because they haven’t hit spending targets more freedom to use telehealth, including services delivered to the beneficiary’s home.  By Eric Wicklund February 11, 2020 – Accountable Care Organizations who are at risk of...

CMS Shares Strategies for Successful Collaborations Between ACOs, Nursing Homes

The federal government released a breakdown of strategies that accountable care organizations (ACOs) have used to successfully partner with skilled nursing facilities — a move that could indicate policymakers’ continued support of the care models. The Centers for Medicare & Medicaid Services (CMS) recently released a care coordination toolkit...

CMS Announces ACO Overhaul, Enhances Telehealth Options

CMS has released new rules overhauling Medicare’s accountable care organizations (ACO) program. Called “Pathways to Success,” the new policies shorten risk-free periods and offer more regulatory flexibility, including for providing telehealth to people in their homes, among other changes. In recent years, home health companies have become more involved...

CMS Looks to Expand 3-Day SNF Waivers, Encourage Risk with New ACO Models

The Centers for Medicare & Medicaid Services (CMS) on Friday finalized its new set of rules for accountable care organizations (ACOs), removing the no-risk tracks that represented financial drains on Medicare and expanding three-day stay waivers for nursing homes. Under the new “Pathways to Success” model, most new ACOs...
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