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Friday, May 8 2015

Full Issue

Success Of One Pilot ACO Program That Saved Medicare Millions May Be Hard To Replicate

Meanwhile, providers offering insurance on Connecticut's exchange want to raise next year's rates by as much as 14 percent. And the Associated Press reports that Massachusetts has been subpoenaed by the U.S. Attorney's Office in Boston for records related to its health exchange. It is unknown what the Justice Department is investigating.

Touting $380 million in savings from the Affordable Care Act's first test of accountable care, Medicare says the pilot did well enough to expand. But it's unclear how the participants got the savings and to what extent others can replicate the success. Dr. Patrick Conway, head of the CMS Innovation Center, and his colleagues announced the savings this week in JAMA. They detailed medical spending for Medicare patients who received care from 32 accountable care organizations during the first two years of the Innovation Center's Pioneer ACO program. (Evans, 5/7)

Insurance companies selling health plans through the state鈥檚 health insurance exchange are seeking to raise rates next year, with average increases between 2 percent and nearly 14 percent. (Levin Becker, 5/7)

Federal authorities have subpoenaed records related to the Massachusetts Health Connector, including a period covering the breakdown of the health care exchange's website, The Associated Press has learned. "The administration received a subpoena regarding the Health Connector's difficulties dating back to 2010 and we are fully cooperating with the Department of Justice," said Elizabeth Guyton, a spokeswoman for Gov. Charlie Baker, in a statement to The AP. (5/7)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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