CMS is rolling out a new ACO model for patients enrolled in both Medicare and Medicaid, many of whom are among the highest-need, highest-risk beneficiaries enrolled in Medicare. The Medicare-Medicaid ...

The value-based care pilot will be replaced by ACO LEAD, a new model that providers and analysts say seems to address many of the problems posed by its predecessor.

They compensate providers such as doctors and hospitals on quality rather than volume of care, and they engage and assist ...

On the first day of 2013, 106 new accountable care organizations officially started participating in the Medicare shared savings program, as federal health officials try to show that new health reform ...

The Centers for Medicare and Medicaid Services has issued a final rule on Significant, Anomalous and Highly Suspect (SAHS) billing activity in the Medicare Shared Savings Program. The final rule ...

The Medicare pay cut looming for doctors next year comes with a sweetener for providers that participate in Medicare Shared Savings Program accountable care organizations. Although the Centers for ...

CMS created a Medicare-Medicaid ACO model to improve the quality of care and lower costs to the programs’ beneficiaries. Here’s what you need to know. 1. The model mirrors the Medicare Shared Savings ...

The longer duration, along with improved benchmarks and risk adjustment, is expected to attract a broader range of ACOs.

CMS has selected the first 27 accountable care organizations to participate in the Medicare Shared Savings Program, effective this month. The ACOs span 18 states and will cover roughly 375,000 ...

CMS’ new ACCESS model, slated to begin on July 1, aims to shift traditional Medicare fee-for-service toward value-based care ...

CMS announced Tuesday that 20 Pioneer and 333 Medicare Shared Savings Program accountable care organizations generated net savings of $411 million in 2014 and improved in most quality measures. “These ...