AHA Statement on ACO Final Rule

AHA STATEMENT ON ACO FINAL RULE

 

 

Tom Nickels
Executive Vice President

American Hospital Association

 

December 21, 2018

 

Today’s final rule will not be helpful in the move toward value-based care. None of the actions taken today will better empower ACOs to maximize their contribution to patient care and are not pathways for improving the value of the program for patients.

 

We remain opposed to CMS drastically shortening the length of time in which ACOs can participate in an upside-only model. Hospitals and health systems have asked for a more gradual pathway because building a successful ACO that is able to take on financial risk requires significant investments in time, effort and finances.

 

While CMS made some improvements to its shared savings rate policies from the proposed rule, they still are not sufficient to appropriately reward ACOs for improving quality and reducing costs. We are particularly concerned about the impact of these and other policies on high-revenue ACOs.

 

We do appreciate that CMS took certain steps to expand participants’ ability to provide care to beneficiaries – for example, via telehealth and longer agreement periods.

 

As a whole, the policies in the rule will likely result in a significant decrease in program participation. That would be unfortunate, as we seek to transform care to better serve our patients and communities. 

 

About the American Hospital Association
The AHA is a not-for-profit association of health care provider organizations and individuals that are committed to the improvement of health in their communities. The AHA is the national advocate for its members, which include nearly 5,000 hospitals, health care systems, networks and other providers of care. Founded in 1898, the AHA provides education for health care leaders and is a source of information on health care issues and trends. For more information, visit https://www.aha.org.

 

###

 

Contact:       Colin Milligan (202) 638-5491 cmilligan@aha.org

Related Resources

Letter/Comment
Public
April 24, 2020 The Honorable Seema Verma Administrator Centers for Medicare & Medicaid Services Hubert H. Humphrey Building 200 Independence Avenue, S.W…
Letter/Comment
The AHA applauded “the new direction” the Centers for Medicare & Medicaid Services is taking to modify, modernize and clarify the physician self-referral…
Letter/Comment
Public
AHA, health care organizations voice support for the Accountable Care in Rural America Act (H.R. 5212), a companion to Senate legislation that would revise the…
Case Studies
Public
Nationwide Children’s Hospital – Columbus, Ohio Healthy Neighborhoods Healthy Families Nationwide Children’s Hospital wanted to make its surrounding…
Special Bulletin
Member
The Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) April 22 announced a new Primary Cares Initiative…
Letter/Comment
Public
AHA applauds the Committee on Energy and Commerce for considering legislation to lower prescription drug costs and strengthen the Affordable Care Act…