9 Pioneer ACOs Expected To Leave Medicare Program - InformationWeek

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9 Pioneer ACOs Expected To Leave Medicare Program
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jaysimmons
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jaysimmons,
User Rank: Apprentice
7/11/2013 | 10:25:55 PM
re: 9 Pioneer ACOs Expected To Leave Medicare Program
When it comes to the pioneer ACOs leaving the program, it is
pretty understandable that they calculated their potential loses or profits and
realizing that they are running a risk took the decision to move to MSSP. If my
organization would be taking a bigger risk with one program when there is
another safer option available, I would move as well.

Jay Simmons
Information Week Contributor
andyx
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andyx,
User Rank: Apprentice
7/5/2013 | 4:54:08 PM
re: 9 Pioneer ACOs Expected To Leave Medicare Program
The departing ACO's understand a great deal more than might be obvious. CMS has a mindset that reshapes the reality of US public healthcare as successful policy. the basis of that perspective is that the fundamental data upon which policy and other decisions are made is ripe with error. thus policy formulation, alternative costing models, risk of failure relative to the "downside" becomes guesswork and opinion. the ACO records of care and models for care are inherently different due to the fact that CMS data is corrupted and ACO data is not. thus decisions made by CMS are unsound and largely opinionated while the ACO has to bring a reality into a largely denial environment. Fundamentally, the ACO concept cannot work because CMS cannot see the validity of it.


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