As Pioneer ACOs Face First Big Benchmark, Some Choose to Depart the Program

Date: 07.18.2013 | Zach Urbina">Zach Urbina

The Centers for Medicare and Medicaid Services (CMS) reported results on year one of the Pioneer Accountable Care Organizations (ACO) program. There were some winners, some losers, and some participants who elected not to participate any further.

Two ACOs elected to leave the program altogether. Seven of the 32 announced plans to reapply under the Medicare Shared Savings Program (MSSP), effectively eliminating the down-side risk component for their participation.

On a brighter note, all 32 improved the quality of patient care under the criteria set forth by CMS.

18 ACOs achieved cost savings, but only 13 of those saved enough to share that savings with Medicare.  $140 million in total cost savings was reported.

Though the figures are encouraging, there will most likely be much more belt-tightening needs from providers if value-based business models are able to thrive as initially hoped.

Via ACO Watch

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