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ACO benchmarking issues may be fixed; next problem?

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Bob Herman, writing in Modern Healthcare, reports that while CMS may have fixed its benchmarking issues with Accountable Care Organizations, that might be inadequate.

He writes: “{M}any have raised concerns that the CMS still is not doing enough to ease providers into riskier ACO models, which is paramount for Medicare’s new physician-payment system.

“The elephant in the room is not the benchmarking rule,” Clif Gaus, CEO of the National Association of ACOs, a trade group run by hospitals and physician groups, told Mr. Herman. “It is: What is CMS going to do to improve the business model for the one-sided ACOs and provide a lower-risk track for the two-sided programs?”

Hit this link to read Mr. Herman’s article.

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