CMS announces new Medicare-Medicaid ACO model
CMS is also testing new Person Centered Community Care model for dual-eligible adults who are disabled and require nursing home care.
The Centers for Medicare and Medicaid Services has announced a new Medicare-Medicaid accountable care organization model.
The new model builds on the Medicare Shared Savings Program in which providers are accountable for the cost and quality of care for Medicare patients.
[Also: CMS releases aligned payer and provider incentives for dual-eligibles]
CMS will partner with existing shared savings ACOs in interested states for the opportunity to take on accountability for the Medicaid costs for their assigned dually-eligible enrollees.
The CMS Medicare-Medicaid Coordination Office has also released a request for information seeking public input on the model of care for new populations in the Programs of All-Inclusive Care for the Elderly, or PACE.
[Also: CMS finalizes rules for Shared Savings ACOs, will account for regional benchmarks]
In the first part of the request for information, CMS seeks comment on a five-year PACE-like model test for individuals dually eligible for Medicare and Medicaid who are age 21 and older, have disabilities that impair their mobility, and who are assessed as requiring a nursing home level of care, among other eligibility criteria.
CMS seeks comment on the types of technical assistance that potential Person Centered Community Care, or P3C, organizations and states would require to participate in the model test.
In the second part of the request for information, CMS seeks information on additional specific populations whose health outcomes could benefit from enrollment in PACE-like models.
Comments must be received by 5 p.m. EST on February 10, 2017.
Twitter: @SusanJMorse
