With the NextGen model, the Centers for Medicare & Medicaid Services (CMS) is attempting to respond to some of the criticisms of the first two Medicare ACO models: the Pioneer demonstration program and the Medicare Shared Savings Program (MSSP) authorized under the Affordable Care Act (ACA). CMS says that the NextGen model represents:
A new opportunity in accountable care:
More predictable financial targets;
Greater opportunities to coordinate care;
High-quality standards consistent with other Medicare programs and models
The Model seeks to test how strong financial incentives for ACOs can improve health outcomes and reduce growth in expenditures for Original Medicare fee-for-service (FFS) beneficiaries.
There will be two rounds of applications. Deadlines are listed below:
The NextGen model is a demonstration program that will run from 2016 through 2020.
Interested in this opportunity, but unsure if its right for your organization?GHG can support your organization with a variety of services from an initial ACO operational readiness assessment, including financial modeling, benchmark & trends, assistance with preparing your application, to implementation and on-going support. Contact us today >>
At Gorman Health Group, we can help you decide what payment models are appropriate to your unique circumstance and support your implementation efforts. Learn more >>
Stay connected to industry news and gain perspective on how to navigate the latest issues through GHG’s weekly newsletter. Subscribe >>