Next Generation ACO Model Allows Expanded Access to Home Health & Telehealth
Wednesday, March 11, 2015
by: Visiting Nurse Associations of America

Section: Quality and Educational Programming




On Tuesday, March 10, the Centers for Medicare and Medicaid Services (CMS) announced the "Next Generation Accountable Care Organization (ACO)" model of payment. This new model of ACOs requires participating providers to assume greater risk but offers a number of incentives, including greater opportunity for savings and several waivers that may assist the participating ACOs in managing the care for beneficiaries. Waivers important to VNAA members include the ability for ACOs to be reimbursed for certain home visits after an inpatient stay and expanded use of telemedicine.

CMS expects between 15 and 20 ACOs to participate in the Next Generation Model. There will be two application rounds-the first application due date will be June 1, 2015, and the second will be June 1, 2016. The first round of selected ACOs will have an initial agreement term that consists of three one-year performance periods with the potential of 3 two additional one-year extensions. The first performance period is anticipated to begin January 1, 2016.

For more information, please see: http://innovation.cms.gov/initiatives/Next-Generation-ACO-Model/

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