4 Accountable Care Challenges for CMS

Tony Miller, for HealthLeaders Media , November 18, 2010
  1. Sufficient Financial Incentives:  Implementation and operation of accountable care requires an investment.  The financial incentives for high quality and elimination of unnecessary costs must be strong and reliable.  The lessons from early pay-for-performance initiatives show how rewards must be high to provide a strong business case for transformation and overcome the inertia of fee-for-volume.  Therefore, in setting the threshold trigger and proportion for shared savings, CMS should ensure a substantial portion of Medicare's savings is given directly to ACOs.  The benefits of the ACO program and our nation's desperate need to move to value-based mode are too great to be penny wise and dollar foolish.

For the Medicare ACO program to succeed to the benefit of all concerned, it is imperative the CMS rules carefully and fully accommodate these and other early lessons from those already on the road to value-driven, accountable care.

Tony Miller
Chief Executive Officer
Carol Corp.

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