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CMS Announces Nearly 100 New Medicare ACOs

Ninety-nine new Medicare accountable care organizations (ACOs) were established at the beginning of the 2017 program year, the Centers for Medicare & Medicaid Services (CMS) announced this week.

The Medicare Shared Savings Program (MSSP) ACOs promote collaboration among providers, including hospitals, with the goal of coordinating care and basing payment on the quality of patient health outcomes rather than the volume of services provided. Along with renewing ACOs, the new organizations bring the total number of ACOs nationally to 480 in 2017.

The agency also announced participants in these other alternative payment models (APMs):

  • Next Generation ACO Model;
  • Comprehensive End-Stage Renal Disease Care Model; and
  • Comprehensive Primary Care Plus (CPC+) Model.

Along with the MSSP ACOs, these APMs will care for nearly 12.3 million Medicare beneficiaries.

Beginning this year, 131 ACOs across the models in use nationally will participate in risk-bearing tracks, making them subject to penalties for negative patient outcomes, but also eligible for greater rewards for positive outcomes.

Further, CMS noted that there are nearly 360,000 clinicians participating in APMs in 2017. CMS expects that by the 2018 performance year, 25 percent of clinicians in the Quality Payment Program will be participating in an Advanced APM and eligible to earn APM incentive payments.

Contact Director of Policy Erin O’Malley at eomalley@essentialhospitals.org or 202.585.0127 with questions.

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About the Author

Maryellen Guinan is a senior policy analyst at America's Essential Hospitals.