In its drive to reduce Medicare spending, the federal governmentis trying to increase participation in accountable careorganizations by aligning patients with a particular ACO if their primary care doctor is partof one.
The change comes in response to complaints from doctors aboutthe current system, in which the administration assigns a certainnumber of a doctor’s patients to the ACO retroactively, meaning the ACO is not beingjudged based on all of the patients it treats. That system, sayofficials, was aimed at preventing doctors from cherry-picking thehealthiest patients to participate in the program.
Under the new system, doctors will know from the beginning whichpatients’ treatment will be assessed as part of the Medicare SharedSavings program, in which roughly 480 ACOs are currentlyparticipating on a voluntary basis.
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