EXCEL HEALTH ACO


What is a Medicare Shared Savings Program?

The Medicare Shared Savings Program offers providers and suppliers (e.g., physicians, hospitals, and others involved in patient care) an opportunity to create a new type of health care entity, an Accountable Care Organization (ACO). An ACO agrees to be held accountable for the quality, cost, and experience of care of an assigned Medicare fee-for-service (FFS) beneficiary population.

The Shared Savings Program has different tracks that allow ACOs to select an arrangement that makes the most sense for their organization. The Shared Savings Program is an alternative payment model that:

Promotes accountability for a patient population
Coordinates items and services for Medicare FFS beneficiaries
Encourages investment in high quality and efficient services

What is a MSSP-ACO?

Medicare Shared Saving Program -Accountable Care Organizations (MSSP-ACOs) are groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high quality care to their Medicare patients.

Participation in a Shared Savings Program-Accountable Care Organization (ACO) creates incentives for health care providers to work together to treat an individual patient across care settings, including doctor’s offices, hospitals, and long-term care facilities.

When an ACO succeeds both in delivering high-quality care and spending health care dollars more wisely, it will share in the savings it achieves for the Medicare program.

Eligible ACO providers and suppliers that may participate in the Shared Savings Program include:

    ACO professionals in group practice arrangements
    Networks of individual practices of ACO professionals
    Partnerships or joint venture arrangements between hospitals and ACO professionals
    Hospitals employing ACO professionals
    Critical Access Hospitals (CAHs)
    Federally Qualified Health Centers (FQHCs)
    Rural Health Clinics (RHCs)

*Content Source, and for more information visit: www.cms.gov
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