“New bipartisan legislation aims to create more accountable care organizations by boosting the percentage of shared savings for new entrants and making a series of other reforms.”
“The Value in Health Care Act introduced on July 24 proposes several changes to Medicare’s alternative payment models. It would boost payments for not only ACOs but also extend bonus payments to clinicians working in advanced APMs…”
“One of the biggest changes would affect shared savings rates for newer ACOs. An organization agrees to take on financial risk and repay Medicare for not meeting savings targets, but gets a share of any savings.”
“That share increases the longer the ACO stays in the program.”
“’The vast majority of ACOs began in shared savings-only models before advancing on the path to risk-bearing models, and models need to remain attractive enough to create a pipeline for ACOs to assume risk,’ a fact sheet on the bill said…”
“The legislation comes as ACO advocates are worried about whether changes that the Centers for Medicare & Medicaid Services made in 2018 are causing a decline in participation…” Read the full article here.
Source: New bill seeks to boost participation in advanced payment models, ACOs via several reforms – By Robert King, July 27, 2020. Fierce Healthcare.
