Accountable Care

August 28, 2015 | Henry Powderly

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 & Medicaid Services said on Tuesday.

August 28, 2015 | Susan Morse

Nine ACOs that partner with CHS generated $27 million in the Medicare Shared Savings Program.

August 28, 2015 | Henry Powderly

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 & Medicaid Services ACO model. Though other organizations in the group found little reason to celebrate.

August 25, 2015 | Henry Powderly

A new report published in the American Journal of Managed Care found that just over half of MSSP ACOs shared plans on how they'll allocate savings.

August 19, 2015 | Chris Nerney

Blue Cross and Blue Shield of Illinois has developed accountable care organizations with three more provider-partners, bringing the total number of ACOs under the insurer to five, the insurer announced this month.

July 23, 2015 | Anthony Brino

The public health pitch for making Medicare available at 50 comes with some strong evidence and business opportunity for population health.

July 22, 2015 | Anthony Brino

Amid a planned acquisition by Aetna, Humana is still going forward with new models, including an expanded deal with one of several promising primary care ventures.

July 22, 2015 | Anthony Brino

Primary care incentives for ACOs may not be strong enough to accomplish the goals of improving patient experiences, population health and high costs.

July 21, 2015 | Anthony Brino

With a progressive CEO and culture and a huge merger in the works, Aetna is promising to help reinvent healthcare. Yet it is still up against the long-term unknowns about what will constitute truly sustainable healthcare.

July 21, 2015 | Michelle Andrews, Kaiser Health News

Even though most people now take some steps to communicate their end-of-life wishes, many may still receive more intensive care than they would have wished.

June 19, 2015 | Anthony Brino

Fallon Health is departing from Massachusetts’ Medicare-Medicaid managed care program, another sign that the sought-after benefits and savings will be hard to achieve.

June 9, 2015 | Anthony Brino

If the economics of running a health plan require the big to get bigger, it also seems that new models for services, risk and profits are needed.

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