Healthcare Finance News March 20, 2024
The model is meant for low-revenue ACOs, preventing independent PCPs that have partnered with a hospital from joining, NAACOS says.
Accountable Care Organization stakeholders are applauding the capitation payments in the new ACO Primary Care Flex Model but lament that it leaves out high-revenue ACOs.
The Centers for Medicare and Medicaid Services announced the voluntary model for primary care ACOs that gives a one-time advanced Medicare Shared Savings payment and monthly prospective primary care payments.
The ACO PC Flex Model is designed to incorporate health equity and address health disparities in primary care by funding and incentivizing team-based-care approaches to medical and social needs, CMS said. Payment rates will be derived from county-average spending to more accurately reflect the cost...
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