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An accountable care organization (ACO) is a healthcare organization that ties provider reimbursements to quality metrics and reductions in the cost of care. ACOs in the United States are formed from a group of coordinated health-care practitioners. They use alternative payment models, normally, capitation. The organization is accountable to ...
The Medicare Shared Savings Program lets hospitals, doctors, and other healthcare professionals create or join an accountable care organization (ACO). An ACO’s goal is to provide coordinated ...
It is the program by which an accountable care organization interacts with the federal government, and by which accountable care organizations can be created. [109] It is a fee-for-service model. The Act allowed the creation of accountable care organizations (ACOs), which are groups of doctors, hospitals and other providers that commit to give ...
The Affordable Care Act (ACA) set out to make healthcare more affordable. It had various effects on Medicare, such as improving coverage and eliminating the drug coverage gap (also called the ...
Medicare is a U.S. government insurance program for people over 65 years old or younger people with certain disabilities. It covers a range of healthcare services, including doctor visits ...
An incentive for many health plans to collect HEDIS data is a Centers for Medicare and Medicaid Services (CMS) requirement that health maintenance organizations (HMOs) submit Medicare HEDIS data in order to provide HMO services for Medicare enrollees under a program called Medicare Advantage.
The Center for Medicare and Medicaid Innovation (CMMI; also known as the CMS Innovation Center) is an organization of the United States government under the Centers for Medicare and Medicaid Services (CMS). [1] It was created by the Patient Protection and Affordable Care Act, the 2010 U.S. health care reform
Medicare provides health insurance for Americans age 65 and older or with certain disabilities. Learn about Medicare coverage, costs, enrollment, and more.
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