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1/ The results are in!

Quick thread on #MSSP #ACO results in @Health_Affairs blog by @SeemaCMS

Interest In ‘Pathways To Success’ Grows: 2018 ACO Results Show Trends Supporting Program Redesign Continue | Health Affairs healthaffairs.org/do/10.1377/hbl…
2/ the total net savings to CMS continue to grow!

Now $740M net of payments to ACOs

Was $314M in 2017

Note: benchmark <> counterfactual-Lots of evidence that these savings are under-estimates, not even accounting for spillover

(@AledadeACO saved taxpayer $69M on 300k Benes) Image
3/ and guess what??

Physician-led ACOs continue to generate a disproportionate share of savings in the program!

That hypothesis led me to launch the physician-led ACO learning network at Brookings in 2013, and @AledadeACO in 2014.

Evidence now obvious. Not so much then. Image
4/ did this improvement in cost come at the expense of quality? Far from it.

ACOs are higher quality than comparable fee for service practices. And they keep getting better!

(Most of our ACOs got perfect quality scores on MIPS)

But the focus isn't box-checking. It's outcomes Image
5/ and for all you naysayers about "expectations":

CMS’s Office of the Actuary projected $2.9 billion in savings over ten years from the Pathways to Success program redesign, and ACO trends from the first start date this year have the agency on track to generate that amount

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