Accountable Care
Dr. Sophia Toya prescribed thousands of orthotic braces that were not medically necessary, DOJ says.
At CommonSpirit Health, accountability is 50/50 shared and the healthcare dividend is split with the physician.
One of VBC's biggest issues is its reliance on complex financial models instead of direct provider enablement.
Net savings to ACOs were $948.4 million (3.4%) compared to model benchmarks, according to CMS.
The CMMI model includes downsize risk and accounts for holistic care, such as mental and behavioral health, and health equity.
Groups are calling on Congress to prevent the proposed 2.93% proposed payment reduction for 2025.
CFOs want value-based contracts with commercial plans as the payer mix changes to one more heavily dependent on Medicare and Medicaid.
Cone Health will maintain its independence while gaining a financial model, resources and technology services.
The biggest challenge ACOs face is the lack of good data on specialist performance, says study author Rob Mechanic.
The organizations said the collaboration will strengthen care coordination for patients.