Rural Health
News by Topic: Accountable Care Organizations
Sep 27, 2024 - Notice of final rule from the Centers for Medicare & Medicaid Services (CMS) addressing policies for assessing performance year (PY) 2023 financial performance of Medicare Shared Savings Program (Shared Savings Program) Accountable Care Organizations (ACOs) in light of significant, anomalous, and highly suspect (SAHS) billing activity for selected intermittent urinary catheters on Medicare Durable Medical Equipment, Prosthetics, Orthotics & Supplies (DMEPOS) claims. Among other things, this rule establishes benchmarks for ACOs starting agreement periods in 2024, 2025, and 2026, financial calculations used in the application cycle for ACOs applying to enter a new agreement period beginning on January 1, 2025, and the change request cycle for ACOs continuing their participation in the program for PY 2025. These regulations are effective October 15, 2024.
Source: Federal Register