Prom­ises, prom­ises

Will tweaks to ACO pi­lots yield sought-af­ter sav­ings?

Modern Healthcare - - COVER STORY - Me­lanie Evans

Medi­care’s lat­est trial of ac­count­able care will test whether pol­icy changes can ac­com­plish what a prior try­out of the health-de­liv­ery model largely failed to do: Con­trol spend­ing.

The model has gained pop­u­lar­ity de­spite its shaky start with a five-year demon­stra­tion by 10 physi­cian groups, many of them prom­i­nent. A final anal­y­sis of that demon­stra­tion, which ended in 2010, is not yet public. But half or more of the physi­cian groups failed to win fi­nan­cial bonuses tied to spend­ing con­trol each year. The Con­gres­sional Bud­get Of­fice said in Jan­uary that the pro­gram failed to curb Medi­care spend­ing.

Since Jan­uary, Medi­care has launched two

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