General Question for the Week of July 11, 2016

General Compliance Question of the Week

Question:

How are accountable care organizations (ACOs) reimbursed in the Medicare Shared Savings Program?

Answer:

Medicare bases ACOs’ payments on several factors. In a recently released final rule, the Centers for Medicare & Medicaid Services (CMS) explains that one of the payment factors is based on whether the ACO can deliver high-quality care at a lower cost compared to other providers in their region. Details about the final rule and payment factors can be viewed at https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2016-Fact-sheets-items/2016-06-06.html

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.