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In: Nursing

what is shared savings program under the Affordable Care Act

what is shared savings program under the Affordable Care Act

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Expert Solution

shared saving program under Affordable Care Act
The Affordable Care Act granted the centers for Medicare and Medicaid Services the authority to establish Medicare Shared savings program Accountable Care organizations.
The Medicare Shared Savings Program (shared saving program)is committedto achieving better health for individuals,better population health,andlowering growth in expenditures.
When doctors and other health care providers can work together to coordinate patient care,patients receive higher qulity care and lower costs.

*Requirements to become ACO under the Medicare shaed Savings Program
To be eligible to participate in MSSP(Medicare Shared Savings Program),the ACO must meet certain requirements;
Havea formal legal structure to receive and distribute shared savings,
Have sufficient number ofprimary care professionals for the number of assigned beneficiaries(5,000 at a minimum),
Agree to participate in the program for not less than 3 years,
Have sufficient information regarding participating ACO health care professionals to support HHS in quality reporting,beneficiary assignment,and determination of shared savings program.
Have leadership and management structure that includes clinical and administrative systems,
Have defined processes to promote evidence-based medicine,report the necessary data to evaluate cost/quality measures,and coordinate care.
Demonstrate patient centered criteria.


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