Until recently, little has been known about the effect of Medicare Accountable Care Organizations on overall spending, and whether they have been able to reduce the use of high-cost care settings. A new Dartmouth Institute study led by Carrie Colla finds that Medicare ACOs are making modest, yet increasing gains in these areas, particularly when it comes to treating patients with multiple conditions who are responsible for the greatest proportion of spending.
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Modern Healthcare – In this article, James Weinstein, CEO of Dartmouth-Hitchcock and professor of orthopaedics, the Dartmouth Institute for Health Policy and Clinical Practice, and community and family medicine at Geisel, and William Weeks, professor of psychiatry, community and family medicine, and the Dartmouth Institute for Health Policy and Clinical Practice at Geisel, discuss how Dartmouth-Hitchcock and other leading academic health systems in Medicare’s Pioneer accountable care organization program face a payment conundrum.
The methodology Medicare uses to adjust the billions of dollars it pays health plans and hospitals to account for how sick their patients are is flawed and should be replaced, according to a new study by Dartmouth investigators published in the journal BMJ that weighed the performance of Medicare’s methodology against alternatives.