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Telehealth Expansion and Post-Discharge House Visits Anticipated Under Next Generation ACO

Jun 01, 2015

The Centers for Medicare and Medicaid Services (CMS) have announced the Next Generation ACO Model, an initiative for ACOs that are experienced in coordinating care for populations of patients. It will allow ACO provider groups to assume higher levels of financial risk and reward than are available under the current Pioneer Model and Shared Savings Program (MSSP). The goal of the Model is to test whether strong financial incentives for ACOs, coupled with tools to support better patient engagement and care management, can improve health outcomes and lower expenditures for Original Medicare fee-for-service (FFS) beneficiaries. CMS expects approximately 15 to 20 ACOs to participate in the Next Generation ACO Model with representation from a variety of provider organization types and geographic regions. The Model will consist of three initial performance years and two optional one-year extensions. CMS will accept ACOs into the Next Generation ACO Model through two rounds of applications in 2015 and 2016, with participation expected to last up to five years. (Letters of intent to be considered in round one were due on May 1, 2015. Round two letters will become available in March 2016.) Read more information here.