Making good on ACOs' promise--the final rule for the Medicare shared savings program.
نویسنده
چکیده
منابع مشابه
The final rule on the Medicare Shared Savings Program.
The Affordable Care Act authorizes the Centers for Medicare and Medicaid Services (CMS) to establish a Medicare Shared Savings Program that would create a new category of health care provider, called accountable care organizations (ACOs), in the Medicare program. On March 31, 2011, CMS released a proposed rule for implementing the new program and solicited public comment. On October 20, 2011, C...
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Accountable care organizations (ACOs) are one of the most anticipated and, perhaps, most confusing developments in health care today. The Patient Protection and Affordable Care Act called for the creation of ACOs as a way to encourage physicians, hospitals and other health care providers to work across settings to coordinate and improve care for a defined population of patients and take part in...
متن کاملStatistical uncertainty in the Medicare shared savings program.
OBJECTIVE Analyze statistical risks facing CMS and Accountable Care Organizations (ACOs) under the Medicare Shared Savings Program (MSSP). METHODS We calculate the probability that shared savings formulas lead to inappropriate payment, payment denial, and/or financial penalties, assuming that ACOs generate real savings in Medicare spending ranging from 0-10%. We also calculate expected paymen...
متن کاملMedicare Shared Savings Program Second-Year Results: Predictors of Success
Background: The Affordable Care Act (ACA) established the Medicare Shared Savings Program (MSSP) to improve quality of care and reduce unnecessary costs.1 Accountable Care Organizations (ACOs) participating in MSSP are rewarded for meeting healthcare performance measures while controlling costs for their assigned Medicare beneficiaries. Methods: We examined the characteristics and quality metri...
متن کاملRegional cost and experience, not size or hospital inclusion, helps predict ACO success
The Medicare Shared Savings Program (MSSP) continues to expand and now includes 434 accountable care organizations (ACOs) serving more than 7 million beneficiaries. During 2014, 86 of these ACOs earned over $300 million in shared savings payments by promoting higher-quality patient care at a lower cost.Whether organizational characteristics, regional cost of care, or experience in the MSSP are ...
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عنوان ژورنال:
- The New England journal of medicine
دوره 365 19 شماره
صفحات -
تاریخ انتشار 2011