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News: CMS requests comments on ACO program

Case Management Weekly, December 1, 2010

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The Centers for Medicare & Medicaid Services (CMS) wants comments from physicians and other healthcare providers as it develops a proposed rule for accountable care organizations (ACOs).

ACOs work together to manage and coordinate care for Medicare beneficiaries and may receive payments for shared savings. CMS is posing several questions to healthcare providers to help create rules for ACOs, including:

  • How should we assess beneficiary and caregiver experience of care as part of our assessment of ACO performance?
  • In order for an ACO to share in savings under the Medicare Shared Savings Program, it must meet a quality performance standard determined by the Secretary. What quality measures should the Secretary use to determine performance in the Shared Savings Program?
  • What additional payment models should CMS consider in addition to the model laid out in Section 1899(d), either under the authority provided in 1899(i) or the authority under the CMMI? What are the relative advantages and disadvantages of any such alternative payment models?

CMS will accept comments through December 3, 2010.

Source: Federal Register



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