Forum Session

Accountable Care Organizations (ACOs): Lessons from the Medicare Shared Savings Program
November 13, 2015

Manager

Sally Coberly, PhD

Summary

The Medicare Shared Savings Program (MSSP), enacted as part of the Patient Protection and Affordable Care Act of 2010, created financial incentives for health care providers to form accountable care organizations (ACOs) to better coordinate care for beneficiaries in traditional fee-for-service Medicare. The goal of the program is to improve quality and reduce costs. As of January 2015, over 400 MSSP ACOs were providing care to more than 7.3 million Medicare beneficiaries. Results have been mixed, with about one-quarter of ACOs performing well enough to share savings with Medicare. This Forum Session provided an overview of the program including recent changes, reviewed performance results to date, and looked in-depth at the experiences of three MSSP ACOs.

Speakers

John Pilotte, MHPM (bio)
Director, Performance-Based Payment Policy Group, Center for Medicare, Centers for Medicare & Medicaid Services
Slides

Linda Bahrke, RN, BSN, MAOM, FABC (bio)
ACO Administrator, Mosaic Life Care (Missouri)
Slides

Kori Krueger, MD (bio)
Medical Director, Institute of Quality, Innovation, and Patient Safety, Marshfield Clinic (Wisconsin)
Medical Director, Marshfield Clinic ACO
Slides

Jordan R. Asher, MD, MS (bio)
Chief Clinical Officer & Chief Innovation Officer, MissionPoint Health Partners (Tennessee)
Slides

Related Materials

Centers for Medicare and Medicaid Services (CMS), "Fast Facts: All Medicare Shared Savings Programs ACOs," April 2015.

"Medicare Shared Savings Program: Publicly Available Data and ACO Performance Data Sources Maintained by CMS," updated May 2015.

CMS.gov, "Finalized Changes to the Medicare Shared Savings Program Regulations," June 4, 2015.

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