This was successfully posted to your pofile.
This box will close automatically in a few seconds. Close this window
We don't have an e-mail address on file for you. To use AAFP Connection, you must have an e-mail address in our records. Click Here
ACO Final Rule
Academy Creates Summary to Help FPs Manage Information Overload on ACOs
By News Staff
The summary also offers links to additional online materials, including eight tables that explain payment details, such as creation and use of quality performance standards for ACOs, a shared savings program overview, and the proposed minimum savings rate based on the number of assigned beneficiaries.
Academy Input Affects Final Rule
- HHS recently released the final rule on Medicare accountable aare organizations.
- The AAFP has reviewed that document and created a 19-page summary of the final rule to help family physicians more easily manage the information.
- The Academy supports the final rule, which includes many of the recommendations made by the AAFP.
- eliminate the proposed retrospective beneficiary assignment method in favor of a preliminary prospective method that identifies beneficiaries quarterly;
- reduce the number of individual quality measures used to determine ACO eligibility from 65 to 33;
- provide quality reporting requirements for the second and third year of the program;
- allow primary care physicians to participate in more than one ACO;
- use a "pay for reporting" approach to quality reporting the first year;
- phase in, over three years, the number of "pay for performance" measures used to calculate an ACO's performance score;
- encourage use of electronic health records, or EHRs, by giving extra weight to a quality measure that looks at the percentage of physicians within an ACO who qualify for the EHR incentive program;
- allow federally qualified health centers, rural health clinics and critical-access hospitals to participate;
- give physicians access to upfront capital via an advanced payment program; and
- offer multiple start dates within 2012.
Family Physician Participation
According to a statement by AAFP President Glen Stream, M.D., M.B.I., of Spokane, Wash., "The Medicare Accountable Care Organization final rule recently released by CMS represents a substantial step toward mending America's broken health care system. The final rule sets the stage for transforming the way patients receive care and promises to end the fragmentation, duplication and miscommunication that contribute to poor care and high costs."
Accountable Care Organizations
HHS Final Rule on Medicare ACOs Reflects AAFP Recommendations
FAQs About ACOs