Medicare Shared Savings Program ACOs
GPTKB entity
Statements (50)
| Predicate | Object |
|---|---|
| gptkbp:instanceOf |
gptkb:insurance
|
| gptkbp:acceptsPaymentMethod |
shared savings
shared losses |
| gptkbp:administeredBy |
gptkb:Centers_for_Medicare_&_Medicaid_Services
|
| gptkbp:bench |
historical spending of assigned beneficiaries
|
| gptkbp:benefit |
over 11 million (as of 2023)
|
| gptkbp:businessModel |
must be a legal entity
|
| gptkbp:compatibleWith |
subject to CMS audits
|
| gptkbp:country |
gptkb:United_States
|
| gptkbp:dataReporting |
annual quality reporting
|
| gptkbp:dataSource |
Medicare claims data
|
| gptkbp:eligibility |
gptkb:physician
hospitals other healthcare providers |
| gptkbp:establishedBy |
gptkb:Affordable_Care_Act
|
| gptkbp:establishedIn |
2012
|
| gptkbp:focus |
primary care
chronic disease management population health |
| gptkbp:governingBody |
must include Medicare beneficiaries
|
| gptkbp:hasModel |
value-based care
|
| https://www.w3.org/2000/01/rdf-schema#label |
Medicare Shared Savings Program ACOs
|
| gptkbp:incentive |
share in savings if quality and cost targets met
|
| gptkbp:minimumBeneficiaries |
5,000
|
| gptkbp:numberOfACOs |
456 (as of 2023)
|
| gptkbp:oversees |
gptkb:CMS_Innovation_Center
|
| gptkbp:participationType |
voluntary
|
| gptkbp:penalty |
share in losses if costs exceed benchmark (in two-sided risk)
|
| gptkbp:purpose |
reduce healthcare costs
improve quality of care |
| gptkbp:qualityMeasures |
care coordination
preventive health at-risk population management patient/caregiver experience |
| gptkbp:regulates |
gptkb:42_CFR_Part_425
|
| gptkbp:relatedTo |
gptkb:Next_Generation_ACO_Model
gptkb:Pioneer_ACO_Model |
| gptkbp:renewalPeriod |
3 years
reapply after contract period |
| gptkbp:reportsTo |
publicly report performance data
|
| gptkbp:requires |
report quality measures
meet quality performance standards minimum number of assigned beneficiaries |
| gptkbp:riskFactor |
one-sided risk
two-sided risk |
| gptkbp:savingsGenerated |
$1.8 billion (net savings in 2022)
|
| gptkbp:targetAudience |
Medicare fee-for-service beneficiaries
|
| gptkbp:website |
https://www.cms.gov/medicare/shared-savings-program
|
| gptkbp:bfsParent |
gptkb:Accountable_Care_Organizations
|
| gptkbp:bfsLayer |
7
|