Medical Economics March 19, 2024
Jeffrey Bendix

CMS initiative aims to provide practices with more flexibility for meeting patients’ needs

Primary care practices in some accountable care organizations (ACOs) could get a financial boost next year under an experimental new Medicare payment model.

The model, known as the ACO Primary Care Flex Model, will provide qualifying ACOs with a one-time advance shared savings payment as well as monthly prospective primary care payments beginning January 1, 2025. ACOs will distribute the prospective payments to their member primary care practices to give them more resources and greater flexibility to meet their patients’ needs.

The advanced shared savings payments will be used either to cover costs associated with forming an ACO, where relevant, and administrative costs of required model activities.

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Topics: ACO (Accountable Care), CMS, Govt Agencies, Insurance, Medicare, Payment Models, Primary care, Provider, Value Based
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