The accountable care organization met MSSP quality standards but did not reduce costs enough to qualify for shared savings. Vermont already has low per capita Medicare spending and the program doesn’t take regional differences into account when determining the threshold for savings, according to Amy Cooper, Healthfirst’s executive director.
The association will consider returning to the program in 2016 after CMS adjusts the program if the adjustments take regional differences into account, Ms. Cooper told VTDigger.
Healthfirst will continue to participate in a state-based shared savings program for Blue Cross Blue Shield of Vermont beneficiaries, according to the report.
More articles on accountable care:
Empire BCBS, Mount Sinai launch new ACO
Humana, Boulder Community Health to partner for accountable care and population health
How to stay ethical and influence referrals within an ACO
At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.