Tag Archives: Medicare Shared Savings Program

Medicare’s Programs Should Compete

Fielding three Medicare programs might make sense if they were designed to compete against one another.

June 15, 2017

Calculating Shared Savings: Administrative Formulas Versus Research-Based Evaluations

This post looks at the advantages and disadvantages of the two approaches and discusses how they can be melded to best serve administrative, payment, and research needs.

September 26, 2016

Medicare ACOs: Incremental Progress, But Performance Varies

In this post, we provide brief comments on the Pioneer ACO results with a more detailed look at the MSSP results, along with some reflections on the program going forward.

September 21, 2016

Accountable Care Organizations In 2016: Private And Public-Sector Growth And Dispersion

As of the end of January 2016, Leavitt Partners, in partnership with the Accountable Care Learning Collaborative, has identified 838 active Accountable Care Organizations. Growth has continued to vary across the country and across public and private health insurance programs, with significant...

April 21, 2016

Today’s Most Attractive National ACO Model Is Offered By…CMS

The CMS Innovation Center recently announced a model that presents ACOs with the opportunity to share in 100 percent of the savings they create for the payer’s largest book of business: the Next Generation ACO. The reaction of the health policy intelligentsia, however, has been curiously tepid.

April 15, 2016

New Health Care Symposium: States’ Critical Role Overseeing Vertical Health Care Integration

States have several models to choose from in overseeing vertical health care integration, from state antitrust enforcement to provider rate regulation. No matter what option a state chooses, it should start with enhanced data collection and analysis, despite new obstacles.

March 3, 2016

Diving Into The Pool Of ACO Quality Measures: MSSP Year 2 Performance Metrics

CMS released the second year of quality performance measures in August 2015. We explored differences in characteristics and quality measures between all ACOs that did and did not generate savings and estimated the impact of those differences on the magnitude of savings reported.

December 21, 2015

Medicare ACOs Continue To Show Care Improvements — And More Savings Are Possible

This August, CMS released financial and quality performance data for its Pioneer and Medicare Shared Savings Program ACOs. We provide further analysis of the latest Pioneer and MSSP results and then discuss some implications for the future of Medicare’s accountable-care programs.

November 4, 2015

The Latest Health Wonk Review

While you're waiting for the Supreme Court to decide King v. Burwell, check out the last couple of Health Wonk Reviews.

June 25, 2015

Medicare’s Rush To Risk: Confounding Theory And Practice, Leaving ACOs Vulnerable

While tying payment to value makes perfect sense, transforming the Medicare program without the evidence that explains how to do this does not. By confounding theory and practice, CMS has made pay for value, a means by which cost efficiency and clinical practice can be improved, an end in itself.

June 19, 2015