The Center for Medicare and Medicaid Services released its 1,425-page Managed Care Final Rule, a long-awaited update to CMS bylaws which, according to CMS, “aligns key rules with those of other health insurance coverage programs, modernizes how states purchase managed care for beneficiaries, and strengthens the consumer experience and key consumer protections.”
For a brief time, it looked like the movement to value-based care was accelerating rapidly across the nation. And then reality hit. In 2014, only one fourth of all the Medicare Shared Savings ACOs received a shared savings payment. Transforming an industry is harder than it looks.