Medicaid ACOs—4 Facts To Inform Your Strategy

Recently the news has been filled with stories about comments made by Seema Verma, Center for Medicare and Medicaid Services (CMS) Administrator, criticizing the upside-only Medicare accountable care organization (ACO) tracks and suggesting a preference for models that take on risk (see Seema Verma hints at the end of 'upside-only' ACOs). At the end of May, CMS released a request for information (RFI) on direct provider contracting in which (and similar to ACOs) physicians, non-physician practitioners, and physician group practices would contract directly with CMS and be responsible for the cost of care and outcomes of a . . .