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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
Varied Access: The Pharmacogenetic Testing Coverage Divide
February 18th 2025On this episode of Managed Care Cast, we speak with the author of a study published in the February 2025 issue of The American Journal of Managed Care® to uncover significant differences in coverage decisions for pharmacogenetic tests across major US health insurers.
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Reviving the Classics: The Role of Older Medications in Modern Dermatology
March 9th 2025Older, generic medications, including ones for cyclosporine, nicotinamide, and dapsone, can effectively treat patients with various dermatological conditions while helping to reduce insurance and cost barriers.
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Shaping Dermatology's Future by Increasing Access, Data, and Advocacy
March 7th 2025Thy N. Huynh, MD, FAAD, Bruce A. Brod, MHCI, MD, FAAD, and Melissa Piliang, MD, FAAD, discussed expanding access to pediatric dermatology, dermatology data aggregation, and advocacy for Medicare physician payment reform, respectively.
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