Posted by: RedaChouffani
Accountable care organizations, ACOs, CMS
On April 10, 2012, the Centers for Medicare and Medicaid Services (CMS) announced that over 1.1 million Medicare beneficiaries have been served by ACOs (Accountable Care Organizations), a statistic that shows a strong positive start to the proliferation of the ACO framework.
There have been 27 participating organizations in ACOs thus far under the Medicare Shared Savings Program, all serving an estimated 375,000 beneficiaries across 18 states.
“We are encouraged by this strong start and confident that by the end of this year, we will have a robust program in place, benefitting millions of seniors and people with disabilities across the country,” said CMS Acting Administrator Marilyn Tavenner.
For many of these participating organizations, and those who will join in the future, there are several criteria that must be met in order maintain membership. Over 33 quality measures must be met, relating to care coordination, patient safety, preventative health services, improvement in care for at-risk population and the experience of both the patients and caregivers.
In addition to the 27 participants, CMS has also announced that there will be five additional ACOs participating in the Advanced Payment ACO model program. It seems that CMS has had success thus far encouraging more physicians to participate in this initiative and become part of the care coordination team. It will be interesting to see the progress and how the model continues to develop over the next 6-12 months.