This Week in Managed Care—More ACO Risk and Other Health News

Managed Care Cast

Every week, The American Journal of Managed Care® recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast. This week, the top managed care stories included CMS outlining a plan to encourage Medicare accountable care organizations to take on more risk, faster; a study found substantial growth in Medicaid managed care enrollment; an analysis showed nearly 1 in 5 inpatient hospital stays includes a claim from an out-of-network provider. Read more about the stories in this podcast: CMS Plans to Overhaul MSSP Program to Force More Risk on ACOs: https://www.ajmc.com/newsroom/cms-plans-to-overhaul-mssp-program-to-force-more-risk-on-acos CMS Proposal Is a Start for Making Risk More Appealing to ACOs: https://www.ajmc.com/contributor/travis-broome/2018/08/cms-proposal-is-a-start-for-making-risk-more-appealing-to-acos Medicaid Managed Care Grew Substantially From 1999 to 2012: https://www.ajmc.com/focus-of-the-week/medicaid-managed-care-grew-substantially-from-1999-to-2012 Nearly 1 in 5 Inpatient Admissions Includes a Claim From an Out-of-Network Provider: https://www.ajmc.com/focus-of-the-week/nearly-1-in-5-inpatient-admissions-includes-a-claim-from-an-outofnetwork-provider CVS Will Rely on ICER Data as It Seeks to Curb Costs, Implement "Zero-Dollar Drug List": https://www.centerforbiosimilars.com/news/cvs-will-rely-on-icer-data-as-it-seeks-to-curb-costs-implement-zerodollar-drug-list What We're Reading: Ark. Work Requirements Lawsuit; CVS' Cost Savings Plan; Kavanaugh and Healthcare: https://www.ajmc.com/newsroom/what-were-reading-ark-work-requirements-lawsuit-cvs-cost-savings-plan-kavanaugh-and-healthcare Choosing Wisely Clinical Decision Support Adherence and Associated Inpatient Outcomes: https://www.ajmc.com/journals/issue/2018/2018-vol24-n8/choosing-wisely-clinical-decision-support-adherence-and-associated-inpatient-outcomes