The Centers for Medicare and Medicaid Services has published a notice requesting applications to participate the Pioneer Accountable Care Organization Model program for at least five years.

CMS filed the notice on May 17 with publication in the Federal Register scheduled for May 20. Organizations must submit a letter of intent by June 10 to the CMS Innovation Center, and applications are due within 60 days of the notice publication.

"To be eligible to participate in the Pioneer ACO Model, organizations would ideally already be coordinating care for a significant portion of patients under financial risk sharing contracts and be positioned to transform both their care and financial models from fee-for-service to a three part value based model," according to the notice.

CMS expects about 30 organizations will test the ACO model with a minimum of 15,000 Medicare beneficiaries each except for rural sites which will have at least 5,000 beneficiaries.

The CMS Innovation Center also seeks public comment on an "Advance Payment Initiative" enabling certain ACOs participating in the Medicare Shared Savings Program access to their shared savings up front to make infrastructure and staffing investments

In addition, the innovation center has created an Accelerated Development Learning Program for providers interested in becoming an ACO.

--Joseph Goedert


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