and health care providers have formed 106 new accountable care organizations (ACOs), bringing the nationwide number
of Medicare beneficiaries included in ACOs to about 4 million.
to the Department of Health and Human Services (HHS), the new ACOs include a
diverse cross-section of physician practices across the country. Roughly half
of all ACOs are physician-led organizations that serve fewer than 10,000
beneficiaries. Approximately 20% of ACOs include community health centers,
rural health centers, and critical access hospitals that serve low-income and
The new group includes 15 advance payment model ACOs, physician-based or rural providers who would benefit from
greater access to capital to invest in staff, electronic health record systems,
or other infrastructure required to improve care coordination. Medicare will
recoup advance payments over time through future shared savings. In addition to
these ACOs, last year the Centers for Medicare and Medicaid Services (CMS)
launched the Pioneer ACO Program for
large provider groups able to take greater financial responsibility for the
costs and care of their patients over time.
ACOs must meet quality standards to ensure that savings are achieved
through improving care coordination and providing care that is appropriate,
safe, and timely. CMS has established 33 quality measures on care
coordination and patient safety, appropriate use of preventive health services,
improved care for at-risk populations, and patient and caregiver experience of
care. Federal savings from this initiative are up to $940 million over 4 years.
For more information on ACOs, visit www.apta.org/ACO/.
your colleagues on March 8 for APTA's groundbreaking virtual event, Innovation Summit:
Collaborative Care Models, which will focus on the current and future role of
physical therapy in ACOs and other integrated models of care.
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