Study Data from Brandeis University Update Knowledge of Insurance (All-payer Value-based Contracting In Organizations With Medicare Acos): Insurance

2024 APR 03 (NewsRx) -- By a News Reporter-Staff News Editor at Health Policy and Law Daily -- Current study results on Insurance have been published. According to news reporting originating from Waltham, Massachusetts, by NewsRx editors, the research stated, “To measure the prevalence of non-Medicare value-based contracting and participation in contracts with downside risk among organizations participating in the Medicare Shared Savings Program (MSSP). Cross-sectional analysis of 2022 accountable care organization (ACO) survey.”

Financial supporters for this research include Commonwealth Fund, SCAN Foundation, Robert Wood Johnson Foundation (RWJF), John A. Hartford Foundation.

Our news editors obtained a quote from the research from Brandeis University, “The author analyzed surveys from 100 organizations participating in the MSSP that reported the number of covered lives they have in value-based contracts in traditional Medicare (ACOs), Medicare Advantage (MA), commercial payers, Medicaid managed care organizations, Medicaid, and direct -to -employer arrangements. We analyzed the distribution of covered lives across shared-savings, shared-risk, and full -risk contracts and analyzed changes between 2018 and 2022. Respondents reported 15.5 million covered lives in value-based contracts. All respondents have Medicare ACO contracts, and roughly 75% reported value-based contracts with commercial and MA plans. Approximately one-third reported such contracts with Medicaid managed care plans. Seventy percent of covered lives in respondents’ Medicare ACO contracts included downside risk for losses compared with 51% of lives in commercial plans and 45% in MA plans. Compared with a similar 2018 survey, the proportion of respondents in value-based MA contracts doubled, and the proportion in commercial contracts rose by half. Organizations that participate in Medicare ACO models have substantially increased their participation in value-based contracts with other payers.”

According to the news editors, the research concluded: “They reported a higher proportion of Medicare ACO covered lives in downside risk arrangements than in commercial or MA contracts.”

This research has been peer-reviewed.

For more information on this research see: All-payer Value-based Contracting In Organizations With Medicare Acos. The American Journal of Managed Care, 2023;29(11). The American Journal of Managed Care can be contacted at: Managed Care & Healthcare Communications Llc, 666 Plainsboro Rd, Ste 300, Plainsboro, NJ 08536, USA.

The news editors report that additional information may be obtained by contacting Robert E. Mechanic, Brandeis University, Heller School for Social Policy and Management, 415 South St, MS035, Waltham, MA 02454, United States.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.37765/ajmc.2023.89456. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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