For an organization to qualify as an accountable care organization (ACO) in the Medicare program, its primary care providers must care for at least 5,000 Medicare beneficiaries. The Centers for Medicare and Medicaid Services (CMS) has laid out several rules of conduct for ACOs participating in the MSSP. Some of the rules that affect participating providers most include:
You can read a more extensive summary of the rules on the CMS website. The final rule itself is available in the Federal Register. Although the MSSP is well delineated by the final rule, it pays to keep abreast of developments, for instance by regulary searching online news sources.
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Accountable Care Organizations