This is Sarah Kliff:
The results of the Accountable Care Organizations’ first year, released last year, are a bit difficult to interpret. All the hospitals did show success in improving on quality measures, rates of re-admissions and monitoring of cholesterol levels.
On the other, 14 failed to produce any cost savings ― and nearly a third of them also decided to stop participating in the program. Seven switched a different, less aggressive Medicare program, while two dropped out altogether…
I’ve spent the past few days talking to the ACO dropouts, trying to understand what didn’t work for them and why they went a different path. I tended to hear variations on a theme: They liked the idea of value-based care and still plan to pursue it. They just didn’t see this much-touted federal program as the best way forward. With so many different experiments in the hopper right now, something had to give.