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Accountable Care Organizations Medicare Beneficiaries

Bass, Berry & Sims PLC

CMS LEAD Model: Request for Applications Released

On March 31, the Centers for Medicare & Medicaid Services (CMS) Innovation Center released the much anticipated Request for Applications (RFA) for the Long‑term Enhanced Accountable Care Organization Design (LEAD) Model, a...more

Bass, Berry & Sims PLC

Taking the LEAD: CMS Unveils the New LEAD Model, Focused on Long-Term Primary Care Success

Bass, Berry & Sims PLC on

On December 18, 2025, the Centers for Medicare & Medicaid Services (CMS) Innovation Center announced the Long-term Enhanced ACO Design (LEAD) Model, a voluntary accountable care organization (ACO) initiative set to launch...more

Bass, Berry & Sims PLC

New CMS Policies Position the MSSP for Expansion and Increased Savings

Bass, Berry & Sims PLC on

New policies tucked into the Centers for Medicare and Medicaid Services’ (CMS) 2025 Medicare Physician Fee Schedule Rule (Final Rule) will likely spur increased Accountable Care Organization (ACO) participation in the...more

Foley & Lardner LLP

CMS’ Latest Innovation Model – The Making Care Primary (MCP) Model Includes Focus on Social Determinants of Health

Foley & Lardner LLP on

On June 8, 2023, the Centers for Medicare and Medicaid Services (CMS) announced a new voluntary primary care model, the Making Care Primary (MCP) Model. Highlights include the following: The MCP Model will run for 10.5...more

Mintz - Health Care Viewpoints

CMS Announces Changes to the MSSP Designed to Increase MSSP Participation and Promote Equity within the MSSP

The Centers for Medicare & Medicaid Services (CMS) recently announced changes to the Medicare Shared Savings Program (MSSP) designed to improve equity within the MSSP and increase the percentage of Medicare beneficiaries in...more

King & Spalding

CMS Changes Trump-era Innovation Models Affecting ACOS

King & Spalding on

On February 24, 2022, CMS announced major changes to several of its innovation models, including the permanent cancellation of the Geographic Direct Contracting Model—a Trump-era model that tested whether a geographic-based...more

K&L Gates LLP

K&L Gates Triage: ACO Improvements in the Bipartisan Budget Act of 2018 (Part 2)

K&L Gates LLP on

In the second segment of this two-part series discussing recent program changes introduced by the Bipartisan Budget Act of 2018 for Accountable Care Organizations (ACOs) participating in the Medicare Shared Savings Program...more

McDermott Will & Schulte

Round Two: Significant Telehealth Expansion Re-Proposed in Bipartisan Senate Bill

On May 3, 2017, the Creating Opportunities Now for Necessary and Effective Care Technologies for Health Act of 2017 (S. 1016) (CONNECT Act of 2017) was reintroduced by the same six senators who had initially introduced the...more

King & Spalding

Also In The News - Health Headlines - August 2016 #4

King & Spalding on

CMS Reports ACO Savings and Improved Quality of Care – CMS issued a press release on August 25, 2016 announcing the 2015 performance year results for the Medicare Shared Savings Program and the Pioneer Accountable Care...more

McDermott Will & Emery

Senate Finance Committee Considering Telehealth Options to Improve Care and Lower Costs

On December 18, 2015, the United States Senate Committee on Finance (the Committee) released a Bipartisan Chronic Care Working Group Policy Options Document), which outlines approaches under consideration to improve the care...more

Foley & Lardner LLP

Beneficiary Assignment Under the MSSP Final Rule

Foley & Lardner LLP on

This is the fourth post in Health Care Law Today’s series on the final rule. This post addresses how CMS assigns beneficiaries to an ACO participating in the MSSP. In the MSSP ACO Final Rule, CMS finalized new...more

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