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Another Pioneer ACO participant, Beacon Health in Maine, is considering exiting the Centers for Medicare and Medicaid Services program after being hit with millions in penalties two years in a row.
For many healthcare providers, this shift from fee-for-service payments requires a number of strategic and systemic changes that, even if implemented efficiently, could put stress on their revenue cycles.
Nine ACOs that partner with CHS generated $27 million in the Medicare Shared Savings Program.
Facing losses for two years in a row, Dartmouth-Hitchcock Medical Center is considering pulling out of Pioneer ACO model, according to Dr. Robert A. Greene, executive vice president and chief population health management officer for the New Hampshire-based accountable care organization.
The merger consolidates technology and revenue cycle services of both companies to serve over 610 hospitals and 300 clinics in 46 states.
CMS said 15 out of the 20 organizations in the program generated a total of $120 million in savings, while the remaining five had spending above benchmarks. See the full performance data in the attached table.
Two Pioneer Accountable Care Organizations, Montefiore Health and the Banner Health Network, on Tuesday touted their success in generating savings for the Centers for Medicare and Medicaid Services ACO model. Though other organizations in the group found little reason to celebrate.
Shortly after the Centers for Medicare and Medicaid Services released its 2014 performance data for Medicare Shared Savings Program and Pioneer model accountable care organizations on Tuesday, healthcare experts and insiders took to social media to share their thoughts on the report.
Memorial Hermann ACO, Palm Beach Accountable Care and PMO lead pack in generating millions in savings, though the bulk of organizations in the program failed to generate enough savings. See the full performance data in the table below.
While many accountable care organizations in Medicare's Shared Savings Program generated enough savings in 2014 to merit financial incentives, more than two-thirds fell below the payment threshold, the Centers for Medicare and Medicaid Services said on Tuesday.