11 / 7 / 2024
By
Kelly Conroy &
Daniela Yusufbekova
Overview of the Shared Savings Program As of January 1, 2024, the Medicare Shared Savings Program includes 480 Accountable Care Organizations (ACOs) with over 634,000 healthcare providers, covering more than...
9 / 17 / 2024
By
Kelly Conroy &
Daniela Yusufbekova
Introduction Accountable Care Organizations (ACOs) were introduced as part of the Affordable Care Act (ACA) in 2010, with the goal of reducing healthcare costs while improving quality of care. ACOs...
4 / 25 / 2024
By
Kelly Conroy &
Zach Maher &
Daniela Yusufbekova
Every primary care physician (PCP) in the United States should be integrated into an accountable care model. The primary objective of accountable care models is to provide all participating...
3 / 28 / 2024
By
Kelly Conroy &
Daniela Yusufbekova &
Allison Carty
Introduction & Background Following the enactment of the Patient Protection and Affordable Care Act (PPACA) in March 2010, the healthcare industry has experienced a major shift in its reimbursement...
12 / 12 / 2023
This article discusses two forthcoming initiatives set to launch in July 2024, aimed at moving away from fee-for-service payments in healthcare. Additionally, it introduces a third model, the AHEAD...
12 / 4 / 2023
By
Kelly Conroy &
Daniela Yusufbekova
The Centers for Medicare and Medicaid Services finalized changes to the 2024 Physician Fee Schedule – Medicare Shared Savings Program on November 2, 2023. The changes in the final...
8 / 1 / 2023
By
Curtis Bernstein &
Kelly Conroy &
Daniela Yusufbekova
In a time where healthcare costs continue to rise, there is a diverse range of payment models in use, ranging from traditional fee-for-service to global capitated payment, to stunt...
2 / 21 / 2023
By
Kelly Conroy &
Zach Maher &
Daniela Yusufbekova
The Centers for Medicare and Medicaid Services finalized changes to the 2023 ACO application cycle steps and timelines. After collectively submitting 50+ successful applications, Pinnacle is excited to continue...
2 / 16 / 2023
By
Kelly Conroy &
Zach Maher &
Daniela Yusufbekova
Our healthcare industry is undergoing a major transformation, with a focus on shifting from a fee-for-service model to a value-based model that prioritizes quality and outcomes over volume and cost....
9 / 8 / 2022
By
Daniela Yusufbekova &
Kelly Conroy
On Tuesday, August 30th, officials at the Centers for Medicare & Medicaid Services (CMS) released the latest financial and quality results for the Medicare Shared Savings Program (MSSP) performance year...
