New knowledge reveals the vast majority of accountable care organizations that take part within the Subsequent Era ACO mannequin achieved financial savings in 2019.
The information, recently released by the Center for Medicare and Medicaid Innovation, reveals simply two of the 37 ACOs failed to satisfy benchmarks and obtain financial savings in 2019. The Subsequent Era program truly includes 41 ACOs however 4 aren’t included within the knowledge set as a result of they deferred monetary settlement. CMS stated it plans to launch 2019 efficiency outcomes with all 41 ACOs in spring 2021 after the monetary settlement is full.
Total, the 37 ACOs earned about $461.9 million in shared financial savings. Medicare saved $204 million after accounting for bonuses, in keeping with the Nationwide Affiliation of ACOs.
UT Southwestern Accountable Care Community in Texas earned essentially the most in shared financial savings, or bonuses, which was $50.6 million.
The 2 ACOs with losses had been HCP California and CoxHealth Accountable Care. HCP owes CMS $9.9 million in shared losses and CoxHealth Accountable Care owes CMS $1.06 million.
The Subsequent Era ACO mannequin was slated to finish in December 2020, however CMS extended it until the end of 2021.
In response to the 2019 efficiency outcomes, the Nationwide Affiliation of ACOs has renewed its calls to make the Subsequent Era ACO mannequin a everlasting a part of Medicare as both a standalone program or included within the Medicare Shared Financial savings Program.
“For yearly of this system, Subsequent Gen ACOs yielded financial savings for Medicare whereas additionally displaying an enchancment in high quality. Only a few applications CMS has developed over time can say that,” stated Clif Gaus, CEO of NAACOs, in a press release.
The demonstration program has been in impact since 2012.