CMS issues 2015 performance data for Medicare ACOs

Aug 26, 2016 - 04:10 PM

Medicare Accountable Care Organizations qualified for more than $466 million in shared savings in 2015 by meeting quality standards and their savings threshold, the Centers for Medicare & Medicaid Services announced yesterday. Eight Pioneer ACOs generated more than $37 million in shared savings and four generated losses. In addition, 119 Medicare Shared Savings Program ACOs earned $429 million in shared savings. Pioneer ACOs are early adopters of coordinated care and assume greater performance-based financial risk. ACOs with three years of experience in the program were more likely to earn savings (42%) than those participating one (22%) or two years (37%). Pioneer ACOs increased their mean quality score to more than 92%, an increase of more than 21 percentage points since the first year. MSSP ACOs improved on 84% of the quality measures that were reported in both 2014 and 2015.

Related News Articles

Headline
CMS releases details on Medicare premiums, deductibles for 2026
The Medicare Part A deductible for inpatient hospital services will increase by $60 in calendar year 2026 to $1,736, the Centers for Medicare & Medicaid…
Headline
Government shutdown ends as President Trump signs funding bill into law  
The 43-day government shutdown ended last night when President Trump signed a funding bill into law, hours after the House passed the measure by a 222-209 vote…
Headline
KFF analysis highlights limited physician access in Medicare Advantage plans
A new report from KFF reveals that Medicare Advantage enrollees had access to just 48% of the physicians available to Traditional Medicare beneficiaries in…
Headline
AHA shares concerns, recommendations with CMS on WISeR model
The AHA Oct. 23 recommended changes to the Centers for Medicare & Medicaid Services’ Wasteful and Inappropriate Services Reduction model to address…
Headline
CMS releases guide on prior authorization submissions, determinations under WISeR model  
The Centers for Medicare & Medicaid Services has released an operational guide for Medicare-enrolled providers and suppliers on the Wasteful and…
Headline
OIG says MA, Medicaid managed care plans have limited, inaccurate behavioral health provider networks 
A report by the Department of Health and Human Services Office of the Inspector General found that many Medicare Advantage and Medicaid managed care plans…