The concept behind Accountable Care Organizations remains reasonable: Groups of health care providers take responsibility for total cost and quality of care for the patients and receive, in return, a portion of any savings they achieve.
But as CMS Administrator Seema Verma made clear in announcing the Proposed ACO Final Rule last month, “Medicare cannot afford to support programs with weak incentives that do not deliver value. ACOs can be an important component of a system that increases the quality of care while decreasing costs; however, most Medicare ACOs do not currently face any financial consequences when costs go up, and this has to change.”
We’ve been writing a lot about ACOs over the past year and following trends closely. There is no longer any doubt that in order to survive, ACOs will have to assume more risk.
To help you both to understand the issues involved and to develop effective strategies for your own organization, here is a collection of our best content on transitioning an ACO to risk for long-term success:
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How to Achieve ACO Cost Savings: Innovative Strategies for Performance Improvement April 2018
ACOs and Specialty Physicians: How Episodes of Care Create a Win-Win Cost and Quality Strategy 5-9-18
Tipping Point Test for ACOs: Consent to Financial Risk 5-23-18
Where’s the Value for Physicians in VBHC: Four Strategies for ACOs and Other APMs 6-6-18
Create Value for Consumers by Leveraging ACO Provider Choice 7-11-18
Proposed ACO Final Rule: 10 Essential Takeaways from “Pathways to Success” 8-15-18
How ACOs Can Leverage Price Transparency To Create Value for Consumers 8-22-18
Ready or Not, Providers Will Face Risk Under ACOs or Medicare Advantage 9-5-18
Founded as ICLOPS in 2002, Roji Health Intelligence guides health care systems, providers and patients on the path to better health through Solutions that help providers improve their value and succeed in Risk. Roji Health Intelligence is a CMS Qualified Clinical Data Registry.
Image Credit: Samuel Zeller