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Tag: Centers for Medicare & Medicaid Services (CMS)

BREAKING: Medicare’s Pioneer Program Down to 19 ACOs After Three More Exit

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Three years after the CMS carefully selected 32 accountable care organizations deemed best able to manage the Pioneer program’s financial risks, three more have decided they no longer want to. The new departures—the program is now down to 19 ACOs—suggest even the most sophisticated health systems may be unwilling to take losses as policymakers test new payment and delivery models.

Franciscan Alliance in Indianapolis, Genesys PHO in Flint, Mich., and Renaissance Health Network in Wayne, Pa., have exited the program, which is now in its third year.

The ongoing trickle of departures from the Pioneer program underscores the broader tension and debate among providers, policymakers and health systems exploring ways to overhaul the way Medicare pays hospitals and doctors—attempts that have rippled through private markets as commercial health plans follow suit.

Read the full report here.

Contact Steven G. Cosby, MHSA with questions or to request more information and to schedule a healthcare plan evaluation, savings analysis or group plan solution for your company.