Shared Savings Models
Expert articles and analysis related to shared savings models.
AI Summary — Last 30 Days
ACO REACH is exiting on a high-savings narrative: CMS reported nearly $1B in 2024 savings across participants, while agilon disclosed $229M in gross savings and $54M to the Medicare Trust Fund, strengthening the case for high-needs, full-risk ACO design even as the model sunsets and stakeholders reposition toward MSSP, LEAD, and successor CMMI strategies under the Trump administration’s CMS/CMMI leadership. The strategic tension is shifting from “does accountable care save money?” to “which benchmark, risk-adjustment, and convener structures allocate savings fairly,” as organizations accepted into LEAD must choose between LEAD and MSSP before final methodology is released, while scrutiny grows over CMMI’s Trust Fund accounting and reporting gaps. For ACOs, payers, and enablement companies, the next phase is less about model participation volume and more about risk mitigation, capital discipline, and defensible performance attribution across MSSP, specialty models like Kidney Care Choices, and post-REACH pathways ([CMS-reported ACO REACH savings](https://news.google.com/rss/articles/CBMipgFBVV95cUxNLUJlTUdtQmRHNWtxdks5VEhyaTdDdnVSQ0JIc2IwaUs0ZFBHTWJFTHd6LVJBM1dYYzNJdGVNbzZ4VWZnNkJpUkJOYTcwenBU
Related Articles
Rethinking Downside Risk: The Role of Stop Loss in ACO Contracts
Rethinking Downside Risk: The Role of Stop Loss in ACO Contracts  Wakely
agilon health Reports ACO REACH Model Results for 2024 Performance Year
WESTERVILLE, Ohio–(BUSINESS WIRE)–agilon health, inc. (NYSE: AGL), the trusted partner empowering physicians to transform health care in our communities, announced that its Accountable Care Organizati...
Health systems approach risk with payers
Health systems are finding different interest and approaches to downside risk in value-based care (VBC) among health plans in their markets. Mark Bortnem, CFO of Essentia Health, said some of their pa...
Accepted into LEAD – Now What? ACO Risk Mitigation Strategies Part 2
LEAD acceptance letters are out, the Participant TIN list is due to CMS in early August, and the financial methodology that governs how shared savings and payments work is expected later this summer. ...
CJR-X: How Data-Driven Strategies Support Success
ACO REACH participants generated nearly $1B in 2024 savings: CMS
ACO REACH participants generated nearly $1B in 2024 savings: CMSÂ Â Fierce Healthcare
How ACO Conveners Are Changing the Medicare Shared Savings Program (MSSP) Behind the Scenes
How ACO Conveners Are Changing the Medicare Shared Savings Program (MSSP) Behind the Scenes  Health Affairs
The Bull Case For agilon health (AGL) Could Change Following Strong 2024 REACH ACO Savings And Quality - simplywall.st
The Bull Case For agilon health (AGL) Could Change Following Strong 2024 REACH ACO Savings And Quality  simplywall.st
agilon health ACOs achieve $229M in savings under Medicare program
agilon health ACOs achieve $229M in savings under Medicare program  Investing.com UK