MedPAC’s recent report to Congress examines a variety of Medicare payment system issues, including analysis that brings to light the unintended consequences of assignment, and the “problematic connection between changes in beneficiaries’ ACO assignment and changes in spending”.
At Nascate, we’ve been talking about the importance of attribution for some time. Our advanced data models have uncovered important insight into the adverse selection and bias that occurs as a result of both prospective and retrospective attribution models. It is about timing and the link between attribution and utilization, and has little to do with the performance of the ACO.
The impact of these “unintended consequences” is significant for both payers and providers, and it needs to be understood and anticipated. Nascate’s ability to predict and identify action steps help organizations address this issue and produce revenue-related results.