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An ACO entry form is a document that organizations must complete to enter into an Accountable Care Organization (ACO) agreement, detailing how they will coordinate care and share resources.
Healthcare providers and organizations that wish to participate in an ACO and receive shared savings must file the ACO entry form.
To fill out the ACO entry form, applicants should provide accurate organizational details, designate a contact person, outline their proposed care coordination strategies, and include any relevant financial data.
The purpose of the ACO entry form is to collect necessary information from healthcare providers to evaluate their eligibility and readiness to participate in an ACO.
The ACO entry form must report information such as the organization’s structure, a list of participating providers, proposed patient population, and the care coordination model to be implemented.
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