From Health Affairs Today <[email protected]>
Subject Medicare’s Specialty-Oriented ACO: Results For ESRD
Date July 1, 2022 8:00 PM
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Looking at the comprehensive End-Stage Renal Disease (ESRD) Care Model
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Friday, July 1, 2022 | The Latest Research, Commentary, And News From
Health Affairs

Dear John,

This week, the White House released the Maternal Health Blueprint

which cites several papers from Health Affairs. Subscribe

to Health Affairs to read the research behind the blueprint.

Our offices will be closed on Monday in observance of Independence Day.
The Health Affairs Today newsletter will return to your inbox on
Tuesday, July 5.

ACOs And End-Stage Renal Disease

In October 2015 the Centers for Medicare and Medicaid Services launched
the Comprehensive End-Stage Renal Disease (ESRD) Care Model, the first
specialty-oriented accountable care organization (ACO) model designed to
serve a specific Medicare subpopulation.

In their June 2022 paper, Darin Ullman and coauthors find that, relative
to a fee-for-service Medicare comparison group and a traditional ACO
group, beneficiaries participating in the model had reduced Medicare
payments
,
hospitalizations, and likelihood of hospital readmission after one year.

"Results of our study suggest that care for patients with ESRD can
improve modestly under fee-for-service Medicare-alternative models
focused on their needs, even under lower-financial-risk structures," the
authors conclude.

Ullman and coauthors discuss several policy implications of their
findings, including that other populations with chronic conditions may
benefit from the testing of a specialty-oriented ACO model

The authors also add that primary care-based ACOs may benefit from
applying CEC Model strategies to high-need subpopulations.

Read More

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Elsewhere At Health Affairs

Today in Health Affairs Forefront, Elizabeth Alpert and coauthors argue
that developing policies promoting value-based dental care requires a
better understanding about the extent of the oral disease burden

impacting older Americans.

Shantanu Agrawal and coauthors argue that federal measures of drivers of
health
,
such as food insecurity, housing instability, and access to
transportation, are needed to improve health outcomes and address health
inequities.

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Budget Neutral Medicaid Demonstrations w/ Cindy Mann

Listen to Health Affairs' Chris Fleming interview Manatt Health's Cindy
Mann on budget neutrality requirements for Medicaid 1115 demonstrations.

Listen Here

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New events have been announced for July, featuring Jonathan H. Adler,
Katie Keith, Sara Rosenbaum, Morgan A. Henderson, Morgane C. Mouslim,
and more.

Upcoming Events

Daily Digest

Medicare's Specialty-Oriented Accountable Care Organization:
First-Year Results For People With End-Stage Renal Disease

Darin F. Ullman et al.

A Call To Measure The Oral Disease Burden In Nursing Homes

Elizabeth Stanko Alpert

To Advance A National Health And Equity Infrastructure, Measure Drivers
of Health

Shantanu Agrawal

Podcast: Budget Neutral Medicaid Demonstrations w/ Cindy Mann

Chris Fleming and Cindy Mann

 

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