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Accountable Care Organization (ACO) Reporting

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OIG Alert Shows Increased Concern Over Data Blocking

The Office of the Inspector General (OIG) issued an alert over its growing concern of data blocking, emphasizing that such activities are in violation of the Federal Anti-Kickback statue. This article explains what data blocking is and the OIG’s stance in its regard.

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The Pioneer Accountable Care Organization Model: Improving Quality and Lowering Costs

This Journal of the American Medical Association article reveals the progress achievements of the Accountable Care Organization (ACO) Pioneer model (e.g. $147 million in total program savings for year one in 2012). The essay reveals that most ACOs outperformed Medicare Fee-For-Service models for all 15 quality metrics. Not all ACOs generated savings, as the article confirms nine ACOs have transitioned to the Shared Savings Program, while three have withdrawn entirely. Further improvements are documented in year two, where ACOs demonstrated a mean overall quality score of 84% in 2013 as compared to 70.8% in 2012. They also saved $96 million in year two vs. $87 million in year one.

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Medicare Shared Savings Program Quality Benchmarks for 2014 and 2015

This PDF document includes the methods for calculating the quality performance benchmarks for ACOs that are participating in the Medicare Shared Savings Program.

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ACO Quality Reporting

This website includes publicly available, searchable quality-reporting information about each ACO.

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Medicare Shared Savings Program

This Centers for Medicare & Medicaid Services website includes information about the Medicare Shared Savings Program.

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Accountable Care Organizations Explained

This Kaiser Health News document provides an overview of ACOs, why they exist, their structure, and how they are paid.

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Quality Measures and Performance Standards

This Centers for Medicare & Medicaid Services website includes information about quality data reporting for ACOs participating in the Medicare Shared Savings Program.

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