More Medicare Patients Having Mammograms in ‘Obamacare’ Era

More Medicare Patients Having Mammograms in ‘Obamacare’ Era
The number of Medicare patients having mammograms increased slightly, but significantly, in the three years following implementation of the Medicare Shared Savings Program (MSSP), the largest value-based population reimbursement program in the U.S. history. The study, “Impact of Medicare Shared Savings Program Accountable Care Organizations at Screening Mammography: A Retrospective Cohort Study,” was developed at Johns Hopkins Hospital and published in the journal Radiology. Accountable care organizations (ACOs) have been developed to encourage healthcare provider networks to share responsibility for healthcare costs, with financial incentives for networks that reduce costs. ACOs were created as part of the Affordable Care Act, also known as Obamacare. The MSSP allows ACOs to share in cost savings if they meet specific quality criteria and produce requisite reductions in the total cost of care. "The Affordable Care Act encourages experimentation with alternative-payment models," Anand Narayan, MD, study lead author and epidemiologist at Johns Hopkins Hospital in Baltimore, said in a news release. "In the value-based model, instead of being paid for doing more tests and procedures, providers get fixed payments tied to measures of whether they are doing a good job or not," Naray
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