Accountable care organizations (ACOs) within the Medicare Shared Financial savings Program saved $2.4 billion in 2024, in response to information launched final week by the Facilities for Medicare and Medicaid Providers (CMS).
The Shared Financial savings Program permits healthcare suppliers and organizations to type an ACO, which takes accountability for the standard, price and affected person expertise of look after a bunch of Medicare fee-for-service beneficiaries.
Out of the 476 ACOs that participated in 2024, 75% earned $4.1 billion in efficiency funds, CMS additionally reported.
Final 12 months noticed the “highest share of ACOs receiving efficiency funds and the very best quantity of financial savings for ACOs and Medicare because the inception of the Shared Financial savings Program,” the company famous. This system began in 2012.
As well as, ACOs achieved larger financial savings per capita in 2024 than in 2023: $241 versus $207 in internet per capita financial savings and $643 versus $515 in gross per capita financial savings, respectively. Internet per capita financial savings replicate the quantity saved by Medicare alone, whereas gross per capita financial savings characterize the full financial savings shared between ACOs and Medicare.
Some ACOs, nevertheless, didn’t obtain financial savings, with 16 owing shared losses equalling $20.3 million.
CMS additionally reported that ACOs helped enhance affected person outcomes, together with blood stress and hemoglobin A1c ranges. Of those who reported high quality measures by means of the CMS Internet Interface, the imply share of beneficiaries with managed hypertension rose to 79.49% in 2024 from 77.8% in 2023. The imply share of these with poor hemoglobin A1c management fell to 9.44% in 2024 from 9.84% in 2023.
Furthermore, most ACOs carried out higher than comparable doctor teams on high quality measures. For instance, ACOs did significantly better than related doctor teams in screening for despair and creating follow-up plans: 53.5% in comparison with 44.4%.
The Nationwide Affiliation of ACOs applauded the ACOs that achieved financial savings for Medicare.
“The outcomes present ongoing measurable success in enhancing high-quality, coordinated care that addresses prevention, persistent sickness and the basis causes of illness,” stated Emily Brower, president and chief government officer of the Nationwide Affiliation of ACOs, in a press release.
“NAACOS and its members are excited to companion with CMS to construct on the success of ACOs in making and preserving seniors wholesome by advancing the long-term sustainability of value-based care fashions,” Brower continued. “Collectively, we are able to proceed to assist well being care innovation and transformation by creating long-term monetary stability, creating capitation approaches, decreasing supplier burden, and making accountable care accessible to extra seniors on Medicare.”
Photograph: StockFinland, Getty Photographs
