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Letter to CMS Administrator Brooks-LaSure on the Higher Spending on Two Catheter Codes and the Impact on ACOs

The undersigned organizations write to request that accountable care organizations (ACOs) are held harmless from anomalous Medicare spending outside their control, such as the aberrant billing for catheters experienced in 2023.

Accountable Care Organizations

What are Accountable Care Organizations? What are ACOs? An ACO is a group of clinicians, hospitals and other health care providers who come together voluntarily to give coordinated high-quality care a designated group of patients.
Public

Accountable Care Organizations: Findings from the Survey of Care Systems and Payment

AHA conducted a survey of 309 ACOs in 2013 which covered such topics as structure and governance, contracts and risk models, key challenges, performance management and information exchange.

Medicare to launch primary care model for low-revenue ACOs

The Centers for Medicare & Medicaid Services expects to launch a voluntary primary care model in January 2025 for low-revenue accountable care organizations that participate in the Medicare Shared Savings Program.

CMS reports record participation in Medicare ACOs this year

A record 480 accountable care organizations will participate in the Medicare Shared Savings Program in 2024, including 19 that will participate in the new permanent payment option, the Centers for Medicare & Medicaid Services announced Jan. 29.
Public

Easing the Pathway to Accountable Care Organizations

Accountable Care Organizations (ACOs) have the promise to transform how health care is delivered by sharing financial awards among providers that realize savings in health care spending while impro
Member

AHA Model Letters Re: ACO-related Fraud & Abuse and Antitrust Issues

On March 31, the Centers for Medicare & Medicaid Services (CMS) released the much-anticipated proposed regulation for the Medicare Shared Savings Program, which encourages the voluntary formation of accountable care organizations (ACOs).

CMS to launch new state-based, total-cost-of-care reimbursement model

The Centers for Medicare & Medicaid Services will select up to eight states to participate in a new voluntary all-payer model that aims to curb health care cost growth, improve population health, and advance health equity by reducing disparities in health outcomes.

CMS revises ACO REACH model for next year

The Centers for Medicare & Medicaid Services Aug. 14 announced changes to its Accountable Care Organization Realizing Equity, Access, and Community Health Model starting in performance year 2024 to advance health equity and make the model more predictable for participants and more consistent with other CMS programs and models.