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FOUNDATION ACCOUNTABLE CARE NETWORK ACO PARTICIPANT AGREEMENT This ACO Participant Agreement (Agreement), is by and between FOUNDATION ACCOUNTABLE CARE NETWORK (ACO), 3993 Jurupa Avenue, Riverside,

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How to fill out aco participant agreement

01

To fill out an ACO Participant Agreement, follow these steps:

02

Obtain a copy of the ACO Participant Agreement form from the relevant healthcare organization or ACO administrator.

03

Read the agreement carefully, paying attention to all the terms and conditions outlined.

04

Fill in your personal information, including your name, contact details, and any other requested information.

05

Provide information about your healthcare organization or practice, if applicable.

06

Review the payment and financial arrangements section, ensuring you understand the payment terms and any shared savings or losses provisions.

07

Complete any additional sections or appendices as required by the agreement.

08

Sign and date the agreement, indicating your acceptance of the terms and conditions.

09

Submit the filled-out agreement to the designated ACO representative or administrator, following their specified submission process.

10

Retain a copy of the filled-out agreement for your records.

11

Await confirmation or further communication from the ACO regarding acceptance of your participation.

Who needs aco participant agreement?

01

ACO participant agreements are typically needed by healthcare providers, such as physicians, hospitals, medical groups, or other healthcare organizations, who wish to participate in an Accountable Care Organization (ACO).

02

Individual healthcare professionals, such as doctors or nurses, may also need to sign an ACO participant agreement if they are participating in the ACO independently rather than through an organization.

03

The need for an ACO participant agreement may vary depending on the specific ACO's requirements and the nature of the healthcare provider's practice or organization. It is advisable to consult with the ACO or their administrator to determine if a participant agreement is needed.

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What is aco participant agreement?

ACO participant agreement is a written agreement between the ACO and its participants that details the rights and obligations of each party in the ACO.

Who is required to file aco participant agreement?

All participants in an ACO are required to file an ACO participant agreement.

How to fill out aco participant agreement?

ACO participant agreements can typically be filled out and signed electronically or through physical paperwork provided by the ACO.

What is the purpose of aco participant agreement?

The purpose of the ACO participant agreement is to establish the relationship between the ACO and its participants, including the responsibilities, expectations, and rights of each party.

What information must be reported on aco participant agreement?

The ACO participant agreement must include details such as participant contact information, responsibilities within the ACO, and any financial arrangements.

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