Medicare & Medicaid
Non-emergent ambulance transports are in the top 20 Part B services with improper payments, CMS said.
Health insurance losses could create lasting ripple effects in the healthcare industry, including decreases in hospital revenue and job losses.
The model encourages increased use of home dialysis and kidney transplants to help improve the quality of life.
At stake is $1.6 billion in payments per year to thousands of 340B hospitals that serve vulnerable populations, the AHA said.
The agency said the roadmap stresses the importance of multi-payer alignment in value-based care to drive care transformation.
The amount of upfront and monthly payments will vary based on the level of risk that the ACO accepts in the Medicare Shared Savings Program.
The proposal is being released early for plans to better address estimating 2022 costs, in light of the uncertainty with the COVID-19 pandemic.
Meeting the objectives of the final rule will be necessary to ensure compliance by January 1.
Organizations such as the National Association of ACOs urge reforms to increase ACO growth and savings.
Survey results indicate a need for people to become better informed about their coverage, which is both a challenge and an opportunity for insurers.