All however two of 39 accountable care organizations reporting outcomes within the Subsequent Technology ACO mannequin earned shared financial savings somewhat than owed cash, a determine the Nationwide Affiliation of ACOs touts as successful for value-based, capitated funds.
Subsequent Technology is Medicare’s mannequin of best threat. NAACOS needs to see the four-year mannequin made everlasting.
Collectively, Subsequent Gen ACOs saved Medicare $559 million final yr, based on partial 2019 efficiency knowledge made available by the Facilities for Medicare and Medicaid Providers.
WHY THIS MATTERS
ACOs are accountable for the fee and high quality of beneficiary care. They earn the precise to share with Medicare financial savings generated if sure spending and high quality metrics are met.
ACOs hit a mean high quality rating of 93.7% out of an ideal rating of 100, bettering take care of 1.2 million seniors, based on NAACOS.
After accounting for shared financial savings paid to ACOs for holding down prices and hitting high quality targets in addition to shared losses and reductions paid to the federal government, the Subsequent Gen program netted $204 million to Medicare in 2019. By comparability, Subsequent Gen ACOs saved Medicare $406 million in 2018 and netted $185 million after shared financial savings and losses.
THE LARGER TREND
Launched in 2016 and prolonged by a yr to finish on the finish of 2021, Subsequent Gen builds off the previous innovation fashions resembling Pioneer, which began in 2012. CMS prolonged this system as a result of COVID-19 pandemic.
ON THE RECORD
“For yearly of this system, Subsequent Gen ACOs yielded financial savings for Medicare cash whereas additionally exhibiting an enchancment in high quality. Only a few applications CMS has developed over time can say that,” mentioned Clif Gaus, president and CEO of the Nationwide Affiliation of ACOs. “NAACOS continues to name on CMS to make the Subsequent Gen mannequin a everlasting fixture in Medicare, both as a stand-alone program or an choice throughout the Shared Financial savings Program.”
Twitter: @SusanJMorse
E-mail the author: susan.morse@himssmedia.com
