CMS Responds To Pioneer ACO Concerns About Meeting Quality Measures
This article was originally published in The Pink Sheet Daily
CMS says it will expect Pioneer ACOs to meet quality performance benchmarks in 2013 based on actual Medicare fee-for-service and Medicare Advantage performance data. The ACOs had requested a delay.
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Drug company sales forces have an opportunity to play a larger role in assisting ACO organizations to achieve their goals, Pfizer’s John Zgombic pointed out, because focusing only on a transactional sale with the physician “is no longer valid.”
The ACOs say they should only be held to reporting data to CMS on the quality measures tied to the program this year, rather than be expected to necessarily meet the set quality thresholds, citing lack of evidence.
Although CMS’ newly finalized rule on accountable care organizations has allayed health care providers’ fears of a program too burdensome to bother with, medical device manufacturers remain worried that ACOs will curb patient access to their products.