by Gregg A. Masters, MPH
Some eight plus years in, ACOs are still earning their ‘shared savings‘ industry ‘sea-legs’.
While they remain a central actor of transformation from volume to value birthed by the ACA for both the public (Medicare and Medicaid) and private (commercial health plans) sectors, the results are continuing to build.
The skeptics think they’re at best transitional vehicles toward more fully expressed and mature risk bearing entities with culture and risk infrastructure suitable to participate in an MA plan.
Below are are two recent articles that dive into the results:
CMS posted the dataset on September 14, 2020 for program year 2019 for both financial and quality performance:
CMS released financial and quality performance results for Performance Year (PY) 2019 and PY 2019A. PY 2019 includes the performance periods beginning January 1, 2019 and ending June 30, 2019 as well as the performance period beginning January 1, 2019 and ending December 31, 2019. PY 2019A refers to the performance period beginning July 1, 2019 and ending December 31, 2019.