(ACOs) are provider-led medical groups that provide coordinated care to the beneficiaries they serve. Patients are assigned to an ACO based on their health care utilization histories.
• The goal of ACOs is to provide quality care to a population of patients, while reducing costs for Medicare.
• ACOs have contributed to the drive towards value-based care in Medicare and generated modest savings to date.
The annual Medicare Advantage regulatory cycle consists of the Medicare Advantage (MA) and Medicare Part D Rule and the Rate Announcement, which are finalized by the Centers for Medicare & Medicaid Services (CMS) in the…
Health assessments, also commonly known as health risk assessments, are an established component of the Medicare program. This fact sheet offers an overview of health assessments, how they’re utilized in Medicare Advantage, and they value…
