CMS announces the formation of 27 ACOs, serving 375,000 beneficiaries
Under the new Medicare Shared Savings Program, 27 accountable care organizations (ACOs) have entered into agreements with the Centers for Medicare and Medicaid Services (CMS). Five of the ACOs are participating in the Advance Payment ACO Model beginning April 1, which provides advance payment of expected shared savings to rural and physician-based ACOs that would benefit from additional start-up resources, according to a news release.
“The Shared Savings Program and other initiatives related to ACOs are made possible by the Affordable Care Act, the health care law of 2010,” noted CMS in its release. “Participation in an ACO is purely voluntary for providers and beneficiaries and people with Medicare retain their current ability to seek treatment from any provider they wish.”
Approximately 375,000 beneficiaries in 18 states will be served by these new provider models. ACO/collaborative health systems partnerships that started participating on April 1 can be found in Arizona, California, Florida, Georgia, Kentucky, Massachusetts, New Hampshire, New Jersey, New York, North Carolina, Texas, and Wisconsin. More than 10,000 physicians, 10 hospitals, and 13 smaller physician-driven organizations in urban and rural areas are involved in the 27 ACOs.
In addition to the 27 ACOs, CMS announced last December that 32 leading healthcare facilities nationwide were chosen to participate in the Pioneer Model ACO initiative, and 6 Physician Group Practice Transition Demonstration organizations formed in January 2011. As of April 1, more than 1.1 million beneficiaries are now receiving collaborative care from providers who will be eligible to receive a portion of the savings achieved through improving and providing care that is appropriate, safe, and timely.
“For 2012, CMS has established 33 quality measures relating to care coordination and patient safety, appropriate use of preventive health services, improved care for at-risk populations, and the patient and caregiver experience of care,” the news release said.
CMS will review more than 150 applications for program entry in July and more than 50 applications for Advance Payments. For additional information, click here. For more information on the Advance Payment ACO Model, click here.