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The CMS is proposing an overhaul of the Medicare accountable care organization program in an effort to improve equity. The plan, which includes efforts to get more providers into ACOs and particularly ramp up rural participation, was applauded by ACO groups.
The changes for ACOs in the Medicare Shared Savings Program would give some organizations more time to ramp up to performance-based risk and updated quality reporting that includes adjustments for health equity and measurements for social determinants of health.