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Pioneer ACO draft leaked
The Hill has obtained a copy of a draft proposal for Pioneer Accountable Care Organizations under consideration by the Centers for Medicare and Medicaid Services.
The healthcare reform law seeks to incentivize more efficient healthcare delivery by rewarding hospitals, physicians and other providers who work more closely together to care for patients. One provision of the law calls for the creation of so-called Accountable Care Organizations (ACOs) that increase Medicare payments for health systems that offer better care through collaboration.
To kickstart the ACOs, the administration in May announced the creation of a Pioneer ACO model aimed at organizations that have already started coordinating care for patients.
• The ACO‐aligned population;
• The reference population;
• Baseline expenditures;
• The expenditure benchmark; and
• Performance period expenditures.
The draft doesn't address the development of the quality performance score or its use in the calculation of shared savings (or loss) amounts.
