Rural Health
News by Topic: Accountable Care Organizations
Jul 1, 2024 - Pre-publication notice of proposed rule from the Centers for Medicare & Medicaid Services (CMS) proposing 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, rule proposes benchmarks for ACOs starting agreement periods in 2024, 2025, and 2026; and 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. Comments are due by July 29, 2024.
Source: Federal Register
May 30, 2024 - Describes the Accountable Care Organization (ACO) Primary Care (PC) Flex Model and offers the Request for Applications. Applications begin by applying to the Shared Savings Program due June 17th as well as submitting the ACO PC Flex Model application due August 1st. Outlines the full application process in Section III.
Source: Centers for Medicare & Medicaid Services, Centers for Medicare & Medicaid Innovation