(ACOs) are provider-led medical groups that provide coordinated care to the beneficiaries they serve. Patients are assigned to an ACO based on their health care utilization histories.
• The goal of ACOs is to provide quality care to a population of patients, while reducing costs for Medicare.
• ACOs have contributed to the drive towards value-based care in Medicare and generated modest savings to date.
A comprehensive assessment of plan changes in Medicare Advantage for the plan year 2026 conducted by Avalere Health. The analysis focuses on anticipated impacts to beneficiary costs, benefit offerings, and plan availability, with particular attention…
More than 60 of BMA’s ally organizations, representing providers, community groups, minority health advocates, and aging services leaders from across the country are voicing serious concerns about the No UPCODE Act in a new letter…
The No UPCODE Act (No Unreasonable Payments, Coding, Or Diagnoses for the Elderly Act), introduced in 2025, proposes changes to Medicare Advantage (MA) risk adjustment under the guise of improving payment accuracy. However, these changes…
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