Providers request significant changes to ACOs prior to implementation
Automatic 2% Medicare cuts begin
As the comment period on the accountable care organizations proposed federal rule approaches its end, provider groups and pilot programs are asking for numerous changes, including reducing quality improvement measures.
Comments on ACOs are due to the Centers for Medicare & Medicaid Services by Monday. The American Hospital Association said Wednesday that CMS should fix the risk-versus-reward equation. In a 24-page letter, the AHA laid out several items it would like to be reconsidered. Among them are allowing for flexibility about starting in 2012; letting ACOs add participants more frequently; adopting a smaller number of quality improvement measures; and changing hospital readmission measures to be more specific to heart attack, heart failure and pneumonia.