Accountable Care Organizations (ACO)

A trusted source for Medicare news and education from the AMAC Foundation.

Accountable Care Organizations (ACO)CMS Health Care Finance

CMS requests ACOs apply for LEAD model

(By: Elizabeth Casolo for Becker’s Hospital Review ) CMS issued a request for applications March 31 for its long-term enhanced

Eileen Cook April 2, 2026April 2, 2026 ACO, CMS, Healthcare Finance, LEAD Model

Accountable Care Organizations (ACO)Employer Healthcare Health Care Finance Health Insurance

2024 Medical Loss Ratio Rebates

(By Jared Ortaliza and Cynthia Cox for The Kaiser Family Foundation Published: Jun 05, 2024) The Medical Loss Ratio (MLR)

Eileen Cook June 6, 2024 ACA, Employer Health Insurance, Health Insurance, Medical Loss Ratio Rebates

Accountable Care Organizations (ACO)Aging CMS Health Care - General Medicare - General

New measure of value can help accountable care organizations deliver better health outcomes for less money

By University of Texas at Austin on May 30, 2024 The Centers for Medicare & Medicaid Services (CMS) is placing

Arlene Sharp May 31, 2024May 31, 2024 ACO, CMS, Healthcare Costs, medicare

Accountable Care Organizations (ACO)CMS Health Care Redesign Medicare - General Primary Care

CMS adds new ACO model: 5 things to know

(By Rylee Wilson for Becker’s Hospital Review ) CMS will introduce a new payment model designed to spur innovation in

Eileen Cook March 20, 2024March 20, 2024 ACO, ACO Primary Care Flex Model, CMS, medicare, Older Adults, Primary Care

Accountable Care Organizations (ACO)CMS

ACO participation grows for 2024

(By Rylee Wilson for Becker’s Hospital Review ) Nearly half of people with traditional Medicare are aligned with Accountable Care

Eileen Cook January 31, 2024January 31, 2024 ACO REACH program, CMS, Kidney Care Choices, medicare, Medicare Shared Savings Programs

Accountable Care Organizations (ACO)Artificial Intelligence CMS HHS Medicaid Medicare - General Medicare Advantage Part D/Prescription Drugs Prior Authorization

Lawmakers are scrutinizing managed care

(By Rylee Wilson for Becker’s Hospital Review ) Federal lawmakers have been probing payers on a variety of issues in

Eileen Cook October 11, 2023October 11, 2023 AI, Claims Denials and Appeals, CMS, Medicaid, medicare, Medicare Advantage, Medicare Advantage Prior Authorization, Medicare Part D

Accountable Care Organizations (ACO)CMS Medicare - General

Medicare Shared Savings Program Saves Medicare More Than $1.8 Billion in 2022 and Continues to Deliver High-quality Care

(Source - www.cms.gov/newsroom) The Centers for Medicare & Medicaid Services (CMS) announced today that the Medicare Shared Savings Program saved

Eileen Cook August 28, 2023August 28, 2023 Accountable Care Organizations, CMS, medicare, Medicare Shared Savings

Accountable Care Organizations (ACO)CMS

CMS’ most successful alternative payment models

(By Rylee Wilson for Becker’s Hospital Review ) CMS has launched more than 50 savings model programs since the agency’s

Eileen Cook March 1, 2023March 1, 2023 Alternative Payment Models, CMS

Accountable Care Organizations (ACO)CMS Medicare Advantage Medicare Fraud; Illegal Activities

Lawmakers concerned over payers with Medicare Advantage fraud allegations participating in ACO model

(By Rylee Wilson for Becker’s Hospital Review ) A group of Democratic senators and representatives are concerned about organizations with

Eileen Cook December 13, 2022December 13, 2022 ACO REACH program, CMS, Fraud and Abuse, Medicare Advantage

Accountable Care Organizations (ACO)CMS Medicare - General

CMS doubles down on value-based payments for specialty care: 4 things to know

(By Rylee Wilson for Becker’s Hospital Review ) CMS wants all traditional Medicare beneficiaries and most Medicaid beneficiaries in accountable

Eileen Cook November 9, 2022November 9, 2022 Accountable Care Organizations, CMS, Specialty care, Value-based senior care

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