Reimbursement
The American Hospital Association criticized the report as making broad claims about pricing based on a cherry-picked and limited data set.
At stake is $1.6 billion in payments per year to thousands of 340B hospitals that serve vulnerable populations, the AHA said.
The agency said the roadmap stresses the importance of multi-payer alignment in value-based care to drive care transformation.
The amount of upfront and monthly payments will vary based on the level of risk that the ACO accepts in the Medicare Shared Savings Program.
Providers' ratings are supported by ample liquidity, and the expectations are for a long-term volume recovery.
The proposal is being released early for plans to better address estimating 2022 costs, in light of the uncertainty with the COVID-19 pandemic.
Organizations such as the National Association of ACOs urge reforms to increase ACO growth and savings.
In recent weeks several major drugmakers have stopped providing 340B pricing for safety net hospitals.
There was nothing in the bill for hospitals other than funds for coronavirus testing, and there's nothing on horizon until after the election.
The programs are for coronary artery bypass grafting and shoulder replacements. They incentivize clinicians to improve patient care and lower costs.