Fierce Healthcare March 19, 2024
Noah Tong

The Centers for Medicare & Medicaid Services (CMS) has announced the ACO Primary Care Flex Model (ACO PC Flex Model), allowing eligible accountable care organizations to treat people with with Medicare using person-centered proactive care.

The model will give a one-time advanced shared savings payment and monthly prospective primary care payments to ACOs. In theory, it will provide needed flexibility and resources to ACOs required to form an ACO and administrative costs necessary to function.

It will be tested within the Medicare Shared Savings Program (MSSP) by the CMS Innovation Center, however, it only applies to low revenue ACOs. CMS said this is because low revenue ACOs typically perform better in MSSP.

“We continue our work to improve the quality...

Today's Sponsors

LEK
ZeOmega

Today's Sponsor

LEK

 
Topics: ACO (Accountable Care), CMS, Govt Agencies, Insurance, Medicare, Payment Models, Primary care, Provider, Value Based
Podcast: Medicare Shared Savings Program Mints $2B Win for Value-Based Care w/ Frank McStay
Increasing the Longevity of Accountability, Designing Cooperative Models, and Transferring Risk Across a Lifetime of Accountable Care
Louisiana Physician Exec Describes Keys to MSSP ACO’s Success
Primary care-centric ACOs generate better savings and better outcomes
Home-Based Care Provider HarmonyCares Thrives In ACO REACH’s First Performance Year

Share This Article