Accountable Care Organizations

Effortless Monitoring of Accountable Care Organizations in the Federal Register

The Centers for Medicare and Medicaid Services (CMS) define an Accountable Care Organization (ACO) as an organization of health care providers that agrees to be accountable for the quality, cost, and overall care of Medicare beneficiaries assigned to it. The ACO payment and delivery reform model is an alternative to traditional fee-for-service programs. Section 3022 of the Patient Protection and Affordable Care Act (ACA) creates the Medicare Shared Savings program, allowing ACOs to contract with Medicare by January 2012. According to the ACA, the Medicare Shared Savings program, promotes accountability for a patient population and coordinates items and services under part A and B, and encourages investment in infrastructure and redesigned care processes for high quality and efficient service delivery.

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Understanding Accountable Care Organizations (ACOs)

The concept of Accountable Care Organizations (ACOs) is central to modern healthcare, especially within the framework laid out by The Centers for Medicare and Medicaid Services (CMS). An ACO is essentially a coalition of healthcare providers that commit to collectively being responsible for the quality and cost-effective care of Medicare beneficiaries assigned to them. Such a system offers a shift from the traditional fee-for-service models to a proactive, accountable approach.

Why ACOs Matter

Accountable Care Organizations are pivotal because they integrate healthcare delivery, focusing on quality over quantity. Under Section 3022 of the Patient Protection and Affordable Care Act (ACA), the Medicare Shared Savings Program was established. This allows ACOs to enter into contracts with Medicare, thus fostering an environment of accountability, optimized care coordination, and infrastructure development. These elements are intricately aimed at enhancing high-quality, efficient service to beneficiaries.

Key Stakeholders

  • Healthcare Administrators: Striving to ensure compliance with federal mandates and optimizing operational efficiencies.
  • Policy Makers and Legislators: Focusing on upholding healthcare laws, understanding policy implications, and evaluating ACO impact on their local healthcare systems.
  • Insurance Providers: Interested in the costs and savings associated with ACO participation and the overall impact on insurance markets.
  • Healthcare Consultants: Looking to advise healthcare organizations on financial strategies and compliance, leveraging ACO structures.

Monitoring ACO Developments

Monitoring developments in the ACO sphere is critical for stakeholders who aim to:

  1. Ensure Compliance: Stay in line with CMS regulations and Medicare policies to avoid potential penalties.
  2. Identify Funding Opportunities: Recognize chances to gain financial support for adopting ACO frameworks that are promising in reducing expenses while improving care quality.
  3. Simplify Monitoring Efforts: Harness automated systems to efficiently track changes and updates from federal registers without manual intervention.
  4. Engage in Comment Periods: Act on opportunities to inform or influence policy direction during open comment periods announced by CMS.

Current Trends and Projections

Recently, there’s been a growing emphasis on value-based care, with ACOs at the fulcrum, offering a model that underscores performance rather than volume. This trend highlights a potential increase in shared savings for efficient ACOs and encourages even broader adoption across states.

Real-Time Monitoring with FedMonitor

Staying abreast of continuous changes and updates related to ACOs in the Federal Register can be daunting. Here is where FedMonitor steps in to transform your monitoring efforts.

  1. AI-Powered Alerts: Our platform provides AI-driven notifications that filter all irrelevant data, ensuring you only receive updates pertinent to your industry or organizational needs.
  2. Seamless Integrations: Whether your team operates on Slack, Microsoft Teams, or Salesforce, FedMonitor seamlessly integrates, ensuring that you never miss an important update.
  3. Comprehensive Support: Receive notifications through diverse channels, including email and SMS, for timely reminders when rapid responses matter.

FedMonitor equips you with meticulous insights and real-time updates, freeing your time and resources to focus on seizing opportunities and maintaining compliance.

Navigate your way to sign-up today, or learn more about our features at the FAQ page. For any inquiries, do reach out to us via our contact page.

Search Details

  • Description: The Centers for Medicare and Medicaid Services (CMS) define an Accountable Care Organization (ACO) as an organization of health care providers that agrees to be accountable for the quality, cost, and overall care of Medicare beneficiaries assigned to it. The ACO payment and delivery reform model is an alternative to traditional fee-for-service programs. Section 3022 of the Patient Protection and Affordable Care Act (ACA) creates the Medicare Shared Savings program, allowing ACOs to contract with Medicare by January 2012. According to the ACA, the Medicare Shared Savings program, promotes accountability for a patient population and coordinates items and services under part A and B, and encourages investment in infrastructure and redesigned care processes for high quality and efficient service delivery.

Related Agencies

Related Topics

Latest Documents

Title Type Published
Health and Human Services Department > CMS
Medicare and Medicaid Programs; CY 2025 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Prescription Drug Inflation Rebate Program; and Medicare Overpayments
This final rule addresses: changes to the physician fee schedule (PFS); other changes to Medicare Part B payment policies to ensure that payment systems are updated to reflect changes in medical practice, relative value of services, and changes in th...
 Rule Dec 09, 2024
Health and Human Services Department > CMS
Medicare and Medicaid Programs and the Children's Health Insurance Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2025 Rates; Quality Programs Requirements; and Other Policy Changes
This final rule revises the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals; makes changes relating to Medicare graduate medical education (GME) for teaching hospitals; up...
 Rule Aug 28, 2024
Health and Human Services Department > CMS
Medicare and Medicaid Programs; CY 2025 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Prescription Drug Inflation Rebate Program; and Medicare Overpayments
This major proposed rule addresses: changes to the physician fee schedule (PFS); other changes to Medicare Part B payment policies to ensure that payment systems are updated to reflect changes in medical practice, relative value of services, and chan...
 Proposed Rule Jul 31, 2024
Health and Human Services Department > CMS
21st Century Cures Act: Establishment of Disincentives for Health Care Providers That Have Committed Information Blocking
This final rule implements the provision of the 21st Century Cures Act specifying that a health care provider determined by the HHS Inspector General to have committed information blocking shall be referred to the appropriate agency to be subject to...
 Rule Jul 01, 2024
Health and Human Services Department > CMS
Medicaid Program; Medicaid and Children's Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality
This final rule will advance CMS's efforts to improve access to care, quality and health outcomes, and better address health equity issues for Medicaid and Children's Health Insurance Program (CHIP) managed care enrollees. The final rule addresses st...
 Rule May 10, 2024
Health and Human Services Department > CMS
Medicare and Medicaid Programs and the Children's Health Insurance Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2025 Rates; Quality Programs Requirements; and Other Policy Changes
This proposed rule would revise the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital- related costs of acute care hospitals; make changes relating to Medicare graduate medical education (GME) for teaching hospi...
 Proposed Rule May 02, 2024
Defense Department
Modification To Childbirth Support Services Covered Under the TRICARE Childbirth and Breastfeeding Support Demonstration
The Director of the Defense Health Agency (DHA) is notifying the public of adjustments to the reimbursement and provider qualifications for childbirth support services under the Childbirth and Breastfeeding Support Demonstration (CBSD).
 Notice Apr 11, 2024
Health and Human Services Department
Confidentiality of Substance Use Disorder (SUD) Patient Records
The United States Department of Health and Human Services (HHS or "Department") is issuing this final rule to modify its regulations to implement section 3221 of the Coronavirus Aid, Relief, and Economic Security (CARES) Act. The Department is issuin...
 Rule Feb 16, 2024
Health and Human Services Department > CMS
Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Advancing Interoperability and Improving Prior Authorization Processes for Medicare Advantage Organizations, Medicaid Managed Care Plans, State Medicaid Agencies, Children's Health Insurance Program (CHIP) Agencies and CHIP Managed Care Entities, Issuers of Qualified Health Plans on the Federally-Facilitated Exchanges, Merit-Based Incentive Payment System (MIPS) Eligible Clinicians, and Eligible Hospitals and Critical Access Hospitals in the Medicare Promoting Interoperability Program
This final rule will improve the electronic exchange of health care data and streamline processes related to prior authorization through new requirements for Medicare Advantage (MA) organizations, state Medicaid fee-for-service (FFS) programs, state...
 Rule Feb 08, 2024
Health and Human Services Department > CMS
Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Payment for Intensive Outpatient Services in Hospital Outpatient Departments, Community Mental Health Centers, Rural Health Clinics, Federally Qualified Health Centers, and Opioid Treatment Programs; Hospital Price Transparency; Changes to Community Mental Health Centers Conditions of Participation, Changes to the Inpatient Prospective Payment System Medicare Code Editor; Rural Emergency Hospital Conditions of Participation Technical Correction
This final rule with comment period revises the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for calendar year 2024 based on our continuing experience with these syste...
 Rule Nov 22, 2023
Health and Human Services Department > CMS
Medicare and Medicaid Programs; CY 2024 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Advantage; Medicare and Medicaid Provider and Supplier Enrollment Policies; and Basic Health Program
This major final rule addresses: changes to the physician fee schedule (PFS); other changes to Medicare Part B payment policies to ensure that payment systems are updated to reflect changes in medical practice, relative value of services, and changes...
 Rule Nov 16, 2023
Health and Human Services Department > CMS
21st Century Cures Act: Establishment of Disincentives for Health Care Providers That Have Committed Information Blocking
This proposed rule would implement the provision of the 21st Century Cures Act specifying that a health care provider determined by the HHS Inspector General to have committed information blocking shall be referred to the appropriate agency to be sub...
 Proposed Rule Nov 01, 2023
Health and Human Services Department > CMS
Medicare and Medicaid Programs; CY 2024 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Advantage; Medicare and Medicaid Provider and Supplier Enrollment Policies; and Basic Health Program
This major proposed rule addresses: changes to the physician fee schedule (PFS); other changes to Medicare Part B payment policies to ensure that payment systems are updated to reflect changes in medical practice, relative value of services, and chan...
 Proposed Rule Aug 07, 2023
Health and Human Services Department
Confidentiality of Substance Use Disorder (SUD) Patient Records
The Department of Health and Human Services (HHS or "the Department") is issuing this notice of proposed rulemaking (NPRM) to solicit public comment on its proposal to modify its regulations to implement section 3221 of the Coronavirus Aid, Relief, a...
 Proposed Rule Dec 02, 2022
Health and Human Services Department > CMS
Medicare and Medicaid Programs; CY 2023 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Implementing Requirements for Manufacturers of Certain Single-dose Container or Single-use Package Drugs To Provide Refunds With Respect to Discarded Amounts; and COVID-19 Interim Final Rules
This major final rule addresses: changes to the physician fee schedule (PFS); other changes to Medicare Part B payment policies to ensure that payment systems are updated to reflect changes in medical practice, relative value of services, and changes...
 Rule Nov 18, 2022
Health and Human Services Department > CMS
Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2023 Rates; Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals; Costs Incurred for Qualified and Non-Qualified DeferredCompensation Plans; and Changes to Hospital and Critical Access Hospital Conditions of Participation
This final rule will: revise the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals; make changes relating to Medicare graduate medical education (GME) for teaching hospitals...
 Rule Aug 10, 2022
Health and Human Services Department > CMS
Medicare Program; Request for Information on Medicare
This request for information seeks input from the public regarding various aspects of the Medicare Advantage program. Responses to this request for information may be used to inform potential future rulemaking or other policy development.
 Proposed Rule Aug 01, 2022
Health and Human Services Department > CMS
Medicare and Medicaid Programs; CY 2023 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment Policies; Medicare Shared Savings Program Requirements; Medicare and Medicaid Provider Enrollment Policies, Including for Skilled Nursing Facilities; Conditions of Payment for Suppliers of Durable Medicaid Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS); and Implementing Requirements for Manufacturers of Certain Single-Dose Container or Single-Use Package Drugs To Provide Refunds With Respect to Discarded Amounts
This major proposed rule addresses: changes to the physician fee schedule (PFS); other changes to Medicare Part B payment policies to ensure that payment systems are updated to reflect changes in medical practice, relative value of services, and chan...
 Proposed Rule Jul 29, 2022
Health and Human Services Department > CMS
Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2023 Rates; Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals; Costs Incurred for Qualified and Non-Qualified Deferred Compensation Plans; and Changes to Hospital and Critical Access Hospital Conditions of Participation
This proposed rule would: Revise the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital- related costs of acute care hospitals; make changes relating to Medicare graduate medical education (GME) for teaching hosp...
 Proposed Rule May 10, 2022
Health and Human Services Department
Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2023
This final rule includes payment parameters and provisions related to the risk adjustment and risk adjustment data validation programs, as well as 2023 user fee rates for issuers offering qualified health plans (QHPs) through Federally-facilitated Ex...
 Rule May 06, 2022

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        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • SuggestedSearchController.php#67main6.86msselect * from "related_entities" where "related_entities"."entity_type" = 'App\Models\SuggestedSearch' and "related_entities"."entity_id" = 76 and "related_entities"."entity_id" is not null and "related_entity_type" = 'App\Models\Agency' order by "common_documents_count" desc, "score" desc
        Bindings
        • 0: App\Models\SuggestedSearch
        • 1: 76
        • 2: App\Models\Agency
        Backtrace
        • app/Http/Controllers/SuggestedSearchController.php:67
        • vendor/laravel/framework/src/Illuminate/Cache/Repository.php:429
        • vendor/laravel/framework/src/Illuminate/Cache/CacheManager.php:456
        • app/Http/Controllers/SuggestedSearchController.php:64
        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • SuggestedSearchController.php#67main6.1msselect "id", "name", "slug" from "agencies" where "agencies"."id" in (203, 44, 7, 23, 244, 384, 48, 91, 181) and "agencies"."deleted_at" is null
        Backtrace
        • app/Http/Controllers/SuggestedSearchController.php:67
        • vendor/laravel/framework/src/Illuminate/Cache/Repository.php:429
        • vendor/laravel/framework/src/Illuminate/Cache/CacheManager.php:456
        • app/Http/Controllers/SuggestedSearchController.php:64
        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • SuggestedSearchController.php#68main8.46msselect * from "related_entities" where "related_entities"."entity_type" = 'App\Models\SuggestedSearch' and "related_entities"."entity_id" = 76 and "related_entities"."entity_id" is not null and "related_entity_type" = 'App\Models\Topic' order by "common_documents_count" desc, "score" desc
        Bindings
        • 0: App\Models\SuggestedSearch
        • 1: 76
        • 2: App\Models\Topic
        Backtrace
        • app/Http/Controllers/SuggestedSearchController.php:68
        • vendor/laravel/framework/src/Illuminate/Cache/Repository.php:429
        • vendor/laravel/framework/src/Illuminate/Cache/CacheManager.php:456
        • app/Http/Controllers/SuggestedSearchController.php:64
        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • SuggestedSearchController.php#68main23.23msselect "id", "name", "slug" from "topics" where "topics"."id" in (931, 683, 8, 489, 492, 678, 884, 838, 491, 450, 604, 1145, 493, 940, 593, 490, 1160, 101, 255, 516, 681, 279, 901, 43, 874, 673, 1147) and "topics"."deleted_at" is null
        Backtrace
        • app/Http/Controllers/SuggestedSearchController.php:68
        • vendor/laravel/framework/src/Illuminate/Cache/Repository.php:429
        • vendor/laravel/framework/src/Illuminate/Cache/CacheManager.php:456
        • app/Http/Controllers/SuggestedSearchController.php:64
        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • SuggestedSearchController.php#84main7.64msselect * from "suggested_searches" where "id" < 76 and "suggested_searches"."deleted_at" is null order by "id" desc limit 1
        Bindings
        • 0: 76
        Backtrace
        • app/Http/Controllers/SuggestedSearchController.php:84
        • vendor/laravel/framework/src/Illuminate/Cache/Repository.php:429
        • vendor/laravel/framework/src/Illuminate/Cache/CacheManager.php:456
        • app/Http/Controllers/SuggestedSearchController.php:82
        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • SuggestedSearchController.php#85main5.8msselect * from "suggested_searches" where "id" > 76 and "suggested_searches"."deleted_at" is null order by "id" asc limit 1
        Bindings
        • 0: 76
        Backtrace
        • app/Http/Controllers/SuggestedSearchController.php:85
        • vendor/laravel/framework/src/Illuminate/Cache/Repository.php:429
        • vendor/laravel/framework/src/Illuminate/Cache/CacheManager.php:456
        • app/Http/Controllers/SuggestedSearchController.php:82
        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      App\Models\RelatedEntity
      56RelatedEntity.php#?
      App\Models\Agency
      46Agency.php#?
      App\Models\Topic
      27Topic.php#?
      App\Models\SuggestedSearch
      23SuggestedSearch.php#?
      App\Models\Document
      20Document.php#?
          ClearShow all
          Date ↕MethodURLData
          #12025-04-10 07:35:11GET/searches/accountable-care-organizations5212172