The goal: All Medicare coverage to be under a value-based payment arrangement by 2030.

The Centers for Medicare and Medicaid Services (CMS) is committed to expanding value-based care. The goal: to bring 100% of original Medicare beneficiaries into an accountable care relationship by 2030.

  • All Medicare fee-for-service beneficiaries will be in a care relationship with accountability for quality and total cost of care by 2030.
  • Most Medicaid beneficiaries will be in a care relationship with accountability for quality and total cost of care by 2030.

WHAT IS AN ACCOUNTABLE CARE RELATIONSHIP?

  • Accountable Care: A doctor, group of health care providers, hospital or health plan takes responsibility for improving quality of care, care coordination and health outcomes for a defined group of patients, thereby reducing care fragmentation and unnecessary costs for patients and the health system.
  • Accountable Care Organizations (ACOs): Groups of doctors, hospitals, and other health care professionals that work together to give patients high-quality, coordinated service and health care, improve health outcomes, and manage costs. ACOs may be in a specific geographic area and/or focused on patients who have a specific condition, like chronic kidney disease.
  • Value-Based Care: Care that focused on performance, quality, and the patient’s experience of care.

A good example of an accountable care relationship is the relationship between a Shared Savings Program Accountable Care Organization (ACOs) and their assigned beneficiaries.

THERE'S MORE! LOGIN TO READ THE FULL ARTICLE.

This article is subscriber content and requires a subscription. If you have a subscription, then please here. If you do not have a subscription, you may purchase one below.

2-Year Subscription: $144.97

1. 12 bimonthly digital issues to The Remington Report
2. Access to online resources for deeper insights
3. Full access to the remingtonreport.com
4. Access to back issues of The Remington Report
5. Download access to the articles archives
6. Latest news from across the continuum
7. Exclusive subscriber-only articles
8. FutureFocus e-newsletter
9. Case studies library

1-Year Subscription: $74.97

1. 6 bimonthly digital issues to The Remington Report
2. Access to online resources for deeper insights
3. Full access to the remingtonreport.com
4. Access to back issues of The Remington Report
5. Download access to the articles archives
6. Latest news from across the continuum
7. Exclusive subscriber-only articles
8. FutureFocus e-newsletter
9. Case studies library