Report
Medicare Accountable Care Organizations: program eligibility, beneficiary assignment, and quality measures
Rural policy brief, 2014-3, RUPRI Center for Rural Health Policy Analysis
04/2014
PMID: 25399468
Abstract
Accountable Care Organizations (ACOs) are groups of providers (generally physicians and/or hospitals) that may receive financial rewards by maintaining or improving care quality for a group of patients while reducing the cost of care for those patients. The Patient Protection and Affordable Care Act of 2010 (ACA) established a Medicare Shared Savings Program (MSSP) and accompanying Medicare ACOs to “facilitate coordination and cooperation among providers to improve the quality of care for Medicare fee-for-service (FFS) beneficiaries and reduce unnecessary costs.” The MSSP now includes 343 ACOs; an additional 23 ACOs participate in the Medicare Pioneer ACO demonstration program, and there are approximately 240 private ACOs. Based on our analysis, among the Medicare ACOs 119 operate in both rural and urban counties and seven operate exclusively in rural counties. A little over 24 percent of non-metropolitan counties are included in Medicare ACOs. To assist rural providers considering ACO formation, this policy brief describes MSSP eligibility and participation requirements, beneficiary assignment processes, and quality measures.
Details
- Title: Subtitle
- Medicare Accountable Care Organizations: program eligibility, beneficiary assignment, and quality measures
- Creators
- A Clinton MacKinneyKeith J MuellerXi ZhuThomas Vaughn
- Resource Type
- Report
- Series
- Rural policy brief; 2014-3
- PMID
- 25399468
- NLM abbreviation
- Rural Policy Brief
- eISSN
- 2152-0267
- Publisher
- RUPRI Center for Rural Health Policy Analysis; Iowa City, Iowa, USA
- Number of pages
- 6 pages
- Grant note
- U1C RH20419 / PHS HHS
- Language
- English
- Date published
- 04/2014
- Academic Unit
- Health Management and Policy; Nursing; RUPRI Center for Rural Health Policy Analysis; Public Policy Center (Archive)
- Record Identifier
- 9984214816602771
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