AMA Clinical Examples in Radiology - 2011 Bulletin 2
CMS Publishes Accountable Care Organizations Final Rule Summary
CMS Publishes Accountable Care Organizations Final Rule Summary On October 20, 2011, the Centers for Medicare and Medicaid Services (CMS) published its Final Rule for the Medicare Shared Savings Program: Accountable Care Organizations (ACOs). Similar to the Proposed Rule, the central theme of the Final Rule is a focus on a "three-part aim": (1) better care for individuals; (2) better health for populations; and (3) lower growth in expenditures. The Rule outlines in detail how CMS plans to implement the Shared Savings Program through the use of ACOs. The Patient Protection and Affordable Care Act, enacted on March 23...
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Article Overview
This article reviews CMS’s final rule for the Medicare Shared Savings Program and explains the policy context behind accountable care organizations. It is aimed at readers who need a high-level understanding of the program’s purpose, implementation themes, and the Medicare quality-and-savings framework discussed in the rule summary.
Why This Topic Matters
The summary helps healthcare professionals, administrators, and coders understand a major Medicare payment and care-delivery policy update. It provides context for how CMS framed accountable care organizations, shared savings, and quality-focused care under the Affordable Care Act.
What You Will Learn
- The policy goals underlying the Medicare Shared Savings Program
- How CMS framed accountable care organizations in the final rule
- The broader Affordable Care Act context for value-based care initiatives
- The general performance and savings concepts referenced in the summary
Who Should Read This
- Medical coders
- Coding auditors
- Healthcare administrators
- Physician practice managers
- Health policy readers
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