Tuesday, December 20, 2011

CMS Approves ACO for Central Indiana

Yesterday, CMS announced that 32 applications for Pioneer ACO from health systems across the country have been approved. The Franciscan Alliance was approved for the Indianapolis and Central Indiana region.

The press release from the Franciscan Alliance can be found here: http://stfrancisnews.blogspot.com/2011/12/franciscan-alliance-selected-to.html

The press release fact sheet from CMS announcing the 32 Pioneer ACOs can be found here: http://www.cms.gov/apps/media/press/factsheet.asp?Counter=4225

Over the past several months, the concept and model of an ACO has changed several times. This announcement is specifically for the Pioneer ACO model. Applications for the Advanced Payment Model is not due to CMS until Jan 2012.

This link will take you to a general resource about the Pioneer ACO Model: http://innovations.cms.gov/initiatives/aco/pioneer/

This link will take you to a general resource about the Advanced Payment ACO Model: http://innovations.cms.gov/initiatives/aco/advance-payment/

The most recent final rules from CMS concerning ACOs was published Oct 20, 2011. That document can be downloaded here: http://www.gpo.gov/fdsys/pkg/FR-2011-11-02/pdf/2011-27461.pdf

Healthcare quality professionals will be most interested in the list of 33 quality measures that will impact payments to ACOs.  That list is on page 67889, or the 88th page into this above document.

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