To amend title XVIII of the Social Security Act to establish a full risk ACO program.

This bill would require the Secretary of Health and Human Services to create a permanent full risk accountable care organization (ACO) program in traditional Medicare by June 30, 2026. Groups of doctors, hospitals, clinics and other providers could form a standard ACO or a complex care ACO, the latter serving patients where at least two-thirds have six or more chronic conditions. ACOs would sign five-year agreements, take on 100 percent of savings and losses subject to a discount and risk corridors, and could receive monthly per-patient payments in place of fee-for-service claims. Participants would be exempt from the Merit-Based Incentive Payment System, and Medicare beneficiaries could opt out of the program.

Full text and official record on Congress.gov

Sponsors

• Claudia Tenney Republican sponsor
• 2 cosponsors