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11 / 7 / 2024

CMS Finalizes Significant Changes to the Medicare Shared Savings Program for 2025: How will they affect ACOs?

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...
4 / 25 / 2024

Revolutionizing Medicare with ACO Primary Care Flex Model: Enhancing Access and Equity

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

AHEAD Model: The Latest Innovation in the Shift to Value-Based Care

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

Three Value-Based Care Models That Continue the Shift Away from Fee-For-Service (FFS)

By
Daniela Yusufbekova
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

Calendar Year 2024 Physician Fee Schedule Final Rule – How do they affect ACOs? Are You Ready?

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

Every PCP Should Be In a Shared Savings Contract: Where do we start?

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

CMS Changes ACO Application Cycle! Are You Ready?

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

New ACO/VBC Changes Announced: What You Need to Know!

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

CMS Releases PY 2021 Financial and Quality MSSP Numbers

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...
8 / 5 / 2022

Every Primary Care Physician should be in a Value Based Care Arrangement/Accountable Care Organization (ACO)

By
Daniela Yusufbekova &
Kelly Conroy
Do you want to start an Accountable Care Organization but don’t know where to start or how to financially support the start? Contact Pinnacle for help with applying to the...