Tuesday, December 2, 2014

CMS Issues Long-Awaited ACO Version 2.0 Proposed Rule

James Michel

This week CMS issued a proposed rule calling for the first overhaul of the Medicare Shared Savings Program (MSSP) Accountable Care Organization (ACO) program since it was first established in 2011. According to a fact sheet developed by CMS:

 “The proposed rule addresses proposed changes to several program areas including beneficiary assignment, data sharing, available risk models, eligibility requirements, participation agreement renewals, and compliance and monitoring. Additionally, the proposed rule seeks comment on issues related to financial benchmarking and waivers for program and other payment rules.”

Of particular interest is CMS’ request for input regarding the application of a waiver of the three-day stay rule for all Medicare ACOs. Over the coming weeks AHCA will be analyzing the 429-page rule in anticipation of submitting comments to CMS by early February. Please email James if you are interested in providing input to these comments.

To access the proposed rule, click here.

 To access the CMS announcement on the rule, click here.

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