tci Medicare Compliance & Reimbursement - 2015 Issue 10

Industry Notes: ACOs Saved Medicare $317 Million in Two Year Study

You may be aware of the fact that the government wants to tie more Medicare payments to alternative payment models, but it’s possible that you don’t know why. A new report indicates that it’s all about the money. CMS hopes to pay for quality — not quantity — of care in the future, which means many of the payments could take place through accountable care organizations (ACOs). The Journal of the American Medical Association recently reported that participants in the Pioneer ACO program saved $212 million in 2012 and $105 million in 2013. When using ACOs...

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