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Many Medicare ACOs Slow Spending but Few Earn Bonuses
Nearly half of the organizations in the CMS' largest test of accountable care slowed Medicare spending, but just 29 of 114 ACOs saved enough to receive bonus payments, the agency said.
Nearly half of the organizations in the CMS' largest test of accountable care slowed Medicare spending, but just 29 of 114 ACOs saved enough to receive bonus payments, the agency said.
Medicare launched its shared-savings program, one of two Medicare accountable care initiatives, in April 2012 with 27 organizations that agreed to try to save money and improve quality in exchange for the chance to keep some of the savings they produced. Three months later, the program added another 87 organizations.
Medicare spending was lower than projected among 54 of the ACOs during the first 12 months of the effort, the agency's interim data show. Twenty-nine ACOs reduced Medicare spending enough to keep a share of the savings. The ACOs produced shared savings of $126 million, and Medicare will see $128 million in savings, the CMS announced.
Read the full story here: http://bit.ly/1iPGAcq
Source: Modern Healthcare
Exploring Racial, Ethnic Disparities in Cancer Care Prior Authorization Decisions
October 24th 2024On this episode of Managed Care Cast, we're talking with the author of a study published in the October 2024 issue of The American Journal of Managed Care® that explored prior authorization decisions in cancer care by race and ethnicity for commercially insured patients.
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Despite Record ACA Enrollment, Report Reveals Underinsured Americans Are in Crisis
November 21st 2024Despite significant progress in expanding health insurance coverage since the Affordable Care Act (ACA) was enacted, millions of Americans still face critical gaps in access to and affordability of health care.
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