Skin Substitutes: A Cost Nightmare That Could Still Hurt ACOs

By Josh Gray and Maria Monahan The skin substitute cost explosion of 2022 – 2025 should be behind us. But it continues to hang over the finances of ACOs. Skin substitutes are expensive wound care products made from human placenta and other biologicals. The cost of some of these products exceeded $21K per square inch; […]
Hidden in Plain Sight – The Cost of ACO Leakage

By Josh Gray and Maria Monahan Many major hospital and health systems have launched Accountable Care Organizations (ACOs) through Medicare’s Shared Savings Programs (MSSP). Leakage – patients receiving care from competing hospitals or specialists – can be a substantial challenge for health system-affiliated ACOs. Out-of-network visits limit an ACO’s visibility, making both cost control and care coordination […]