Accountable Care Organizations (ACOs)

The Affordable Care Act establishes a Medicare Shared Savings Program (MSSP) designed to drive efficient, high-quality care for Medicare fee-for-service beneficiaries. Under this program, groups of health care providers can form accountable care organizations (ACOs). These ACOs agree to be accountable for the quality, cost, and overall care of Medicare beneficiaries assigned to them. At the end of March 2011, the Obama Administration released proposed regulations for the MSSP.

Resources for this section

  • NCQA Accountable Care Organizations Criteria

    NCQA has drafted criteria for ACOs and opened a comment period, in late 2010, seeking input on the framework. NCQA has been working with CMS leaders who are crafting ACO regulations.

  • 4/26/11: Detailed Analysis of Proposed Medicare ACO Program - Webinar PDF format4/26/11: Detailed Analysis of Proposed Medicare ACO Program - Webinar

    The Centers for Medicare & Medicaid Services released its long-awaited proposed rule on the Medicare Shared Savings Program (“MSSP”), establishing Medicare Accountable Care Organizations (“ACOs”). The proposed MSSP would reward ACOs for delivering integrated care at lower costs while meeting quality standards.

    Speakers discussed the details of the proposed Medicare ACO program, including eligibility requirements, risk-sharing models, assignment of beneficiaries, and quality measurement and reporting requirements.

    View an analysis of issues of particular relevance to NAPH members. A more detailed summary of the proposed MSSP by Ropes & Gray is also available.

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