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2015 Accountable Care Organization Metrics: One-Fifth Primed for "Next Generation ACO" Participation

Twenty percent of healthcare organizations expect to participate in CMS's new "Next Generation" ACO model in the coming year, according to 2015 metrics compiled by the Healthcare Intelligence Network (HIN).

Sea Girt, NJ, June 08, 2015 --( Motivated by Medicare's plan to shift half of provider payments to value-based payment models by 2018, one-fifth of respondents to a 2015 survey on Accountable Care Organizations expect to sign on with CMS's newest ACO model in the coming year, according to the Healthcare Intelligence Network's latest complimentary HINtelligence Report.

In CMS's Next Generation ACO model announced earlier this year, participants can take on greater financial risk than those in current Medicare ACO initiatives, while also potentially sharing in a greater portion of savings. Next Generation ACOs will have a stable, predictable benchmark and flexible payment options that support ACO investments in care improvement infrastructure, CMS noted, adding it would consider covering additional tools such as telehealth and post-discharge home services to enhance care management of beneficiaries.

Seventy percent of respondents to HIN's fourth comprehensive ACO survey already participate in CMS's popular Medicare Shared Savings Program (MSSP), while almost one-tenth have committed to the federal payor's Advance Payment ACO, an innovative model designed for small physician practices or hospitals and doctors that work in remote rural areas.

Download more survey results from the complimentary HINtelligence report, "Accountable Care Organizations in 2015," at

The industry's gradual shift to value-based reimbursement is reflected in HIN survey respondents' favored ACO payment model: 45 percent report a hybrid reimbursement formula of fee for service combined with a care coordination fee and shared savings.

News Facts: HIN's white paper, Accountable Care Organizations in 2015: One-Fifth Primed for 'Next Generation ACO' Participation, summarizes April 2015 responses from 110 health plans, hospitals, physician practices and others on ACO components, tools and technology, and results and ROI.

The 2015 ACO snapshot also identified the following accountable care metrics:

-Data analytics pose the greatest challenge to ACO operations, say one-third of respondents.

-Two-thirds of respondents credit improvements in care coordination to their ACO operations.

-Clinical outcomes are the ultimate measure of ACO success, say 80 percent of organizations surveyed.

-Telehealth is offered by 34 percent of responding accountable care organizations.

-Administered in April 2015, HIN's fourth comprehensive Accountable Care Organizations survey garnered responses from 110 healthcare organizations.

Download more survey results from the complimentary HINtelligence report, "Accountable Care Organizations in 2015," at

Quote Attributable to Melanie Matthews, HIN Executive VP and COO:

"The flexibility of the Next Generation ACO model, as well as the improved shared savings and data sharing aspects of the recently approved Medicare Shared Savings Program (MSSP) final rule, indicates CMS is taking to heart industry suggestions to retool accountable care models. These developments have made the ACO a favored value-based care vehicle."

For Melanie Matthews's profile, please visit

Please contact Patricia Donovan to arrange an interview or to obtain additional quotes.

Related materials:

Chart: Top ACO Models by Participation.

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About the Healthcare Intelligence Network — HIN is the premier advisory service for executives seeking high-quality strategic information on the business of healthcare. For more information, contact the Healthcare Intelligence Network, PO Box 1442, Wall Township, NJ 07719-1442, (888) 446-3530, fax (732) 449-4463, e-mail, or visit
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