Physician Practice

Review of CMS’ Pioneer ACO Payment Model first performance year administration

Physician Practice Insider, June 28, 2016

On June 7, the OIG posted a report stating it reviewed CMS’ administration of the Pioneer Accountable Care Organization (ACO) Payment Model (Pioneer Model). In general, a Medicare ACO is composed of a group of healthcare providers and suppliers who accept joint responsibility for the cost and quality of Medicare Parts A and B for a specified group of fee-for-service beneficiaries. CMS assigns beneficiaries to each Medicare ACO on an annual basis according to each program's specifications. Through the Pioneer Model, CMS sought to support experienced ACOs in the transformation of its business and care delivery models so they would not be reliant on fee-for-service volume and could focus on optimizing outcomes of care.

View the report.

This article originally appeared on Medicare Compliance Watch.

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