For healthcare organizations and providers involved in a Medicare Shared Savings Program (MSSP), 2025 is truly a time of transition and a little uncertainty. When colleagues recently asked for my thoughts on MSSP this year, the old saying “May you live in interesting times” kept coming to mind.
The Medicare Shared Savings Program (MSSP), the accountable care organization (ACO) model that served 10.6 million seniors in 2020, collectively saved Medicare $4.1 billion last year, and $1.9 billion after accounting for shared savings payments, according to the National Association of ACOs (NAACOs) and as recently published in Healthcare Finance. 513 ACOs participated in the...
The Top 10 Changes ACOs Need to Know ACOs participating in shared savings programs face a number of opposing forces in 2021. From a decline in the number of Medicare beneficiaries to new CMS regulations to force downside risk sooner, ACOs are carefully weighing their options in the year ahead. In fact, the number of...
Negotiating value-based reimbursement & Value-based contracting is a complex process for healthcare providers. Organizations participating in value-based agreements need to consider the specific population covered under the contract, the particular reimbursement model used, and which quality and utilization measures will be tracked. And because each contract varies, negotiators rely on every available insight to truly...
Back in June we conducted a webinar titled Power Over Uncertainty – Five Steps for ACOs to Take Now, where we outlined five steps we suggested ACOs take to improve quality outcomes, while also ensuring organizational sustainability. With CMS’s release of the 2020/2021 Shared Savings Quality Measure Benchmarks this month, I wanted to share some...
When it comes to the proposed “Pathways to Success” for accountable care organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP), my suggestion is this: Don’t throw the baby out with the bathwater.
Last month HealthEC reported that we helped our accountable care organization (ACO) clients achieve $21.4 million in Medicare Shared Savings Program (MSSP) savings and receive reimbursements totaling more than $9.5 million for the 2017 performance year. We also announced a 100% client success rate for the MSSP program.
