CMS Introduces New Approach For ACOs

Recently, the Centers for Medical and Medicaid services, also known as CMS, announced the availability of a new approach for accountable Care Organizations that are involved in the Medicare Shared Savings Program. This will definitely help the medical billing solutions who are looking to improve their facilities.

The advantage of such ACOs is that they help in the Affordable Care Act in order to improve the quality improvement and care coordinated services. This is made possible with the use of advanced technology along with the facilities provided in the healthcare organizations. This latest investment model has been designed to increase the overall facilities and care provided to the patients. Also, the main focus is to increase the efforts for coordinating the care to the rural and undeserved areas in a better way. The main reason why this initiative has been taken is that several concerns and queries were registered by the organization regarding the lack of access to the required investment capital by several healthcare providers. Evidently, this is also focused on helping the medical billing solutions to successfully provide the options.

The main aim is to implement population care management. It has been reported that around 114 million dollars will be provided as upfront investments to almost 75 ACOs in the entire country. Also, these investments have been classified into three types i.e. upfront and fixed, upfront and variable based on the preliminary assignment beneficiaries and also a monthly payment depending on the size of the ACO. This has also been initiated for the betterment of the medical billing solutions in various healthcare organizations around the country.

According to CMS Administrator Marilyn Tavenner, “The ACO Investment Model will give Medicare Accountable Care Organizations more flexibility in setting quality and financial goals, while giving them greater accountability for delivering quality care efficiently. We are working with these organizations to make necessary investments that encourage doctors, hospitals and other health care providers to work together to better coordinate care and keep people healthy.” Organizations in the Pioneer ACO model and the Medicare Shared Savings Program have generated in excess of 372 million dollars for the betterment of the services provided to the patients.

ACA has also created the Innovation Center in order to test innovative payment and service delivery models to reduce the amount of money spend while improving the quality of care provided in the healthcare organizations. Several medical billing solutions were also finding it difficult to work efficiently amidst changing scenarios in the medical sector.