Risk bearing and use of fee-for-service billing among accountable care organizations.
DB Muhlestein, AA Croshaw… - The American Journal of …, 2013 - europepmc.org
DB Muhlestein, AA Croshaw, TP Merrill
The American Journal of Managed Care, 2013•europepmc.org… Among these ACOs, 71% cover a portion of their ACO population with contracts that put the
ACOs at some financial risk, while 45% have risk-based contracts for their entire ACO population.
Payments based on fee-for-service (FFS) billing still dominate, as 92% of ACOs use FFS-based
billing for at least a portion of their ACO population and 71% are fully reimbursed using
FFS-based billing. … Under the auspices of an ACO, providers are accepting some financial
risk for their accountable care patient population. There is still strong reliance on FFS-based …
ACOs at some financial risk, while 45% have risk-based contracts for their entire ACO population.
Payments based on fee-for-service (FFS) billing still dominate, as 92% of ACOs use FFS-based
billing for at least a portion of their ACO population and 71% are fully reimbursed using
FFS-based billing. … Under the auspices of an ACO, providers are accepting some financial
risk for their accountable care patient population. There is still strong reliance on FFS-based …
Objectives
To determine the willingness of accountable care organizations (ACOs) to bear financial risk for the healthcare they provide.
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