Primary Care Collaborative
Published on Primary Care Collaborative (https://www.pcpcc.org)

Home > Following Medicare’s ACO Program Overhaul, Most ACOs Stay—But Physician-Led ACOs Leave At A Higher Rate

Following Medicare’s ACO Program Overhaul, Most ACOs Stay—But Physician-Led ACOs Leave At A Higher Rate

on Tue, 2019-03-19 10:02   Alyssa

Accountable care organizations (ACOs) have become a major payment and delivery reform since they were introduced as a key component of the Affordable Care Act. Currently, there are more than 1,000 ACOs covering about 33 million lives across all payers—numbers that have steadily increased over time. The ACO model continues to evolve, but it seems to be here to stay. In late 2018, the Centers for Medicare and Medicaid Services (CMS) released its Pathways to Success rule, overhauling its largest ACO program, the Medicare Shared Savings Program (MSSP).

Story Date: 
March 15, 2019
News Author: 
William K. Bleser
Robert S. Saunders
David Muhlestein [1]
Andrew Olson
Robert Richards
Donald H. Taylor
Mark B. McClellan
Source Link: 
Read More [2]
Copyright © 2022 Primary Care Collaborative
(function(f, a, t, h, o, m){ a[h]=a[h]||function(){ (a[h].q=a[h].q||[]).push(arguments) }; o=f.createElement('script'), m=f.getElementsByTagName('script')[0]; o.async=1; o.src=t; o.id='fathom-script'; m.parentNode.insertBefore(o,m) })(document, window, 'https://cdn.usefathom.com/tracker.js', 'fathom'); fathom('set', 'siteId', 'BXVOWHIJ'); fathom('trackPageview'); .page-node-206819 .field-name-field-image, .page-node-206830 .field-name-field-image { display:none; }
.clear { clear:both; } #title-region .inner { background: #255c81; } .center_title #title-region .inner { text-align: center; } .hide_bread .breadcrumb { display:none; } .hide_header #title-region { display:none; } .no_vanity .field-name-field-image{ display:none; } .tb-megamenu .nav li.dropdown.active>.dropdown-toggle, .tb-megamenu .nav li.dropdown.open.active>.dropdown-toggle { background-color: #27638c; background: url(/sites/all/libraries/superfish/style/simple/images/simple-background-active.png) repeat-x top left rgb(39,99,140,.5); border-color: #e0e0e0; color: #27638b; } .node-type-announcement .field-name-field-announcement-link a{ font-size:24px; line-height:30px; } #cboxClose { top: 10px!important; right: 10px!important; background: url(https://www.pcpcc.org/sites/default/files/close-button.png) no-repeat!important; background-size:contain!important; width: 30pximportant; height: 30pximportant; position: absolute; color:red!important; border: 0; -moz-box-sizing: content-box; -webkit-box-sizing: content-box; box-sizing: content-box; padding: 0; } .page-node-208962 .views-row { clear:both } .page-node-208962 .img-polaroid.pull-right { margin-left:20px } .page-node-208962 .views-field-field-organization { font-size:18px; margin-bottom:5px } .page-node-208962 h3 { margin-bottom:5px } .no_vanity .field-name-field-image { display: none; } .node-type-profile #title-region .inner { background: #255c81!important; } .node-type-profile .breadcrumb { display:none; } .node-type-profile #title-region { text-align: center; } .node-type-profile .field-name-field-public-phone-number, .node-type-profile .field-name-field-public-email { font-size:16px; margin-bottom:10px; } .field-name-field-public-phone-number i, .field-name-field-public-email i { margin-right:7px } .field-name-full-related-profile-with-bio .views-row { min-height: 150px; } #block-views-twitter-link-block { max-height:20px; margin-bottom:10px; } #block-views-twitter-link-block i{ margin-right: 7px; } body.page-initiatives #title-region .inner, body.node-type-initiative #title-region .inner, body.node-type-panel #title-region .inner { background: #255c81!important; } body.node-type-panel .breadcrumb { display:none; } .page-node-209596 #title-region .inner { background: #007eba!important; text-align:center; color:#f3725a; } .page-node-209596 .field-name-field-image, .page-node-209596 .breadcrumb { display:none; } .node-type-center .page-title { display: block!important; } .field-name-field-center-image { width: 350px; float: right; margin: 10px; } .node-type-center .breadcrumb{ display:none; } .page-programs .views-row:after { display: block; clear: both; content: ""; position: relative; left: 0; bottom: 0; height: 1px; width: 60%; border-bottom: 1px solid #e0e0e0; margin: 0 auto; padding: 8px 0px; } .page-programs .views-row { margin:10px 0; } .page-programs .views-field-field-center-image{ float:right; } .page-programs .views-row .views-field-field-subheadline{ margin:0px; } .node-type-center .tabs { position: fixed; bottom: 25px; right: 0; z-index: 100000; top: AUTO; left: auto; } .view-shared-principles-views.view-display-id-block_20 h4{ margin:0px; } .view-shared-principles-views.view-display-id-block_20 img{ float:right; padding-right:10px; } .view-shared-principles-views.view-display-id-block_20 .views-row { clear:both; margin: 10px 0; padding: 10px 0px; border-bottom: 1px solid #e9e9e9; clear: both; min-height: 100px; } .view-id-shared_principles_views.view-display-id-block_20 .views-field-field-shared-principle a { line-height: 0; font-size: 0; color: transparent; } .view-id-shared_principles_views.view-display-id-block_20 .views-field-body { clear:both; } .view-id-shared_principles_views.view-display-id-block_20 .views-field-field-shared-principle { float:left; margin: 0 10px 10px 0; } .Accessible .views-field-field-shared-principle a { width:100px; /*width of your image*/ height:100px; /*height of your image*/ background:url('https://www.pcpcc.org/sites/default/files/page-files/Accessible.png'); margin:0; /* If you want no margin */ padding:0; /*if your want to padding */ background-size: 100px 100px; cursor:pointer; background-color:#d45529; display:block; color:white; background-repeat: no-repeat; background-position: center; text-align:center; } .Collaborative .views-field-field-shared-principle a { width:100px; /*width of your image*/ height:100px; /*height of your image*/ background:url('https://www.pcpcc.org/sites/default/files/page-files/TeamBaseed.png'); margin:0; /* If you want no margin */ padding:0; /*if your want to padding */ background-size: 100px 100px; cursor:pointer; background-color:#d45529; display:block; color:white; background-repeat: no-repeat; background-position: center; text-align:center; } .Family-Centered .views-field-field-shared-principle a { width:100px; /*width of your image*/ height:100px; /*height of your image*/ background:url('https://www.pcpcc.org/sites/default/files/page-files/Centered.png'); margin:0; /* If you want no margin */ padding:0; /*if your want to padding */ background-size: 100px 100px; cursor:pointer; background-color:#d45529; display:block; color:white; background-repeat: no-repeat; background-position: center; text-align:center; } .Comprehensive .views-field-field-shared-principle a { width:100px; /*width of your image*/ height:100px; /*height of your image*/ background:url('https://www.pcpcc.org/sites/default/files/page-files/Comprehensive.png'); margin:0; /* If you want no margin */ padding:0; /*if your want to padding */ background-size: 100px 100px; cursor:pointer; background-color:#bfb95a; display:block; color:white; background-repeat: no-repeat; background-position: center; text-align:center; } .Coordinated .views-field-field-shared-principle a { width:100px; /*width of your image*/ height:100px; /*height of your image*/ background:url('https://www.pcpcc.org/sites/default/files/page-files/Coordinated.png'); margin:0; /* If you want no margin */ padding:0; /*if your want to padding */ background-size: 100px 100px; cursor:pointer; background-color:#bfb95a; display:block; color:white; background-repeat: no-repeat; background-position: center; text-align:center; } .High-Value .views-field-field-shared-principle a { width:100px; /*width of your image*/ height:100px; /*height of your image*/ background:url('https://www.pcpcc.org/sites/default/files/page-files/High-Value.png'); margin:0; /* If you want no margin */ padding:5px 0; /*if your want to padding */ background-size: 100px 100px; cursor:pointer; background-color:#667491; display:block; color:white; background-repeat: no-repeat; background-position: center bottom; text-align:center; } .Continuous .views-field-field-shared-principle a { width:100px; /*width of your image*/ height:100px; /*height of your image*/ background:url('https://www.pcpcc.org/sites/default/files/page-files/Continuous.png'); margin:0; /* If you want no margin */ padding:5px 0; /*if your want to padding */ background-size: 100px 100px; cursor:pointer; background-color:#667491; display:block; color:white; background-repeat: no-repeat; background-position: center bottom; text-align:center; } .page-node-210112 .pane-center-related-content { display:none; } .page-node-210112 #mini-panel-center_related_stuff { display:none; } .page-node-210112 #block-system-main .panel-panel.span6 { display:none; } .page-node-210112 .span6 .pane-content { background-color: #f5f5f5; padding: 10px; } #block-block-238{clear:both;} #block-block-238{margin: -25px;} #block-block-238 h4.state{border-right:1px #fff solid;} #block-block-238 h4{padding:0 10px;text-align:center;} #block-block-238 a{color:white;} #block-block-238 a:hover{color:#dedede;} #block-block-238 {padding:0 10px;background-color:#255c81;} .page-node-210204 #title-region .inner { padding: 70px 28px; background: url(https://www.pcpcc.org/sites/default/files/news_files/bhn-banner.jpg)!important; background-position: top; background-repeat: repeat-x; } .page-node-210204 #title-region .page-title { text-align: center; font-size: 50px; display:none; } .nav li.donate a { background: #276189; color: white; font-weight: 500; font-size: 17px; border: 0px; } .nav-collapse li.donate a { color:white!important; } .nav li.donate a:hover { color: #55554a!important; }

Source URL: https://www.pcpcc.org/2019/03/19/following-medicare%E2%80%99s-aco-program-overhaul-most-acos-stay%E2%80%94-physician-led-acos-leave-higher

Links:
[1] https://www.pcpcc.org/profile/david-muhlestein
[2] https://www.healthaffairs.org/do/10.1377/hblog20190311.776139/full/?utm_source=Newsletter&utm_medium=email&utm_content=Medicare%20s%20ACO%20Program%20Overhaul%3B%20A%20New%20Focus%20On%20Health%20Equity%20In%20New%20York%20City&utm_campaign=HAT%203-15-19