ACO stakeholders ask CMS to keep upside-only risk model, while 29 others from Next Gen ACO Coalition want to make risk more predictable. Susan Morse, Senior Editor Two interesting developments happened on Thursday that could impact the future of Accountable Care Organizations and the amount of risk they manage....

By Maggie Flynn | September 10, 2018 Value-based arrangements generate much of their savings by shifting spending away from the post-acute setting, according to recent government announcements. That ups the already-high pressure on skilled nursing facilities to lower patient length of stay while maintaining quality of care. To cope,...

On August 9, 2018, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would set a new direction for the Medicare Shared Savings Program (Shared Savings Program).  Referred to as “Pathways to Success,” this proposed new direction for the Shared Savings Program would redesign the participation...

Today, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would overhaul the Medicare Shared Savings Program, which is the program established by the Affordable Care Act and launched in 2012 under which the vast majority of Medicare’s Accountable Care Organizations (ACOs) operate.  The redesigned...

Monday, July 30, 2018 Where Things Stood Understanding the impact of what we have seen so far this year first requires an understanding of where we were at the end of 2017, with respect to both Medicare reimbursement and provider adoption of telehealth solutions. Hospitals and health systems have...

Included among one of the five primary goals in the 32-page bill of the (CONNECT) for Health Act of 2017 is to expand the use of remote patient monitoring programs for chronic care and underserved populations. May 25, 2017 by Carrie A. Roll Last week, the Congressional Budget Office...

CMS encourages ACO participants, radiology facilities, group of hospitals, specialty providers to take advantage of the shared cost associated with remote monitoring technology as per federal guidelines of the Medicare Shared Savings Program (MSSP) to enhance care coordination. By Vera Gruessner on November 05, 2015 What type of healthcare...

The medical cost associated with providing Medicare beneficiaries the use of telehealth technologies and remote patient monitoring services can be shared among ACO’s according to federal regulations under the Medical Shared Savings Program (MSSP) waivers. The financial impact revealed by CMS was a saving of nearly $600 million in...