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“Value based” payment project saves US nearly $400m in two years, report finds

BMJ 2015; 350 doi: http://dx.doi.org/10.1136/bmj.h2432 (Published 06 May 2015) Cite this as: BMJ 2015;350:h2432
  1. Michael McCarthy
  1. 1Seattle

A pilot project to evaluate accountable care organizations (ACOs) as an alternative payment model for doctors caring for Medicare patients yielded substantial savings while maintaining the quality of care, a new report has found.1

The findings will allow the US Department of Health and Human Services to expand the model to other Medicare programs. Earlier this year the agency announced that it planned to move 30% of Medicare payments to such “value based” models by 2016 and 50% by 2018.2

The report said that, during the first two years of the Pioneer ACO project, spending on the care of Medicare patients enrolled in the program grew by …

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