May 25, 2012

Thirty-Two Health Care Organizations to Participate in Pioneer ACO Program

According to a U.S. Department of Health & Human Services media release that was issued earlier today, 32 health care organizations from around the country will participate in the Pioneer Accountable Care Organization (ACO) program.

Under the program, which is operated by the Centers for Medicare & Medicaid Services (CMS) Innovation Center, groups of health care providers that have formed ACOs will be rewarded by Medicare based on how well they are able to both improve the health of their Medicare patients and lower their health care costs. HHS hopes the program will save up to $1.1 billion over the next five years by encouraging health care specialists “to provide better, more coordinated care for people with Medicare.”

The 32 Pioneer ACOs were selected from a pool of over 80 applicants. According to the media release, “selected Pioneer ACOs include physician-led organizations and health systems, urban and rural organizations, and organizations in various geographic regions of the country, representing 18 states and the opportunity to improve care for 860,000 Medicare beneficiaries."

The first performance period of the Pioneer ACO Model will begin Jan. 1, 2012.

Additional information on the Pioneer ACO model can be accessed by downloading the CMS Fact Sheet here.

© 2012 BARNES & THORNBURG LLP

About the Author

Partner

Heather Fesko Delgado is a partner in Barnes & Thornburg LLP’s Chicago office and a member of the firm’s Heathcare Department. Ms. Delgado practices exclusively in the healthcare transactional, regulatory and compliance areas.

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