Form preview

Get the free MEDICARE SHARED SAVINGS PROGRAM ACCOUNTABLE CARE ORGANIZATION PARTICIPATION AGREEMEN...

Get Form
Agreement between centers for medicare & medicaid services and an Accountable Care Organization to participate in the Shared Savings Program and comply with applicable laws and regulations.
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign medicare shared savings program

Edit
Edit your medicare shared savings program form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your medicare shared savings program form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit medicare shared savings program online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Follow the steps down below to use a professional PDF editor:
1
Sign into your account. In case you're new, it's time to start your free trial.
2
Upload a file. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. Then click Edit.
3
Edit medicare shared savings program. Replace text, adding objects, rearranging pages, and more. Then select the Documents tab to combine, divide, lock or unlock the file.
4
Get your file. Select the name of your file in the docs list and choose your preferred exporting method. You can download it as a PDF, save it in another format, send it by email, or transfer it to the cloud.
Dealing with documents is always simple with pdfFiller.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out medicare shared savings program

Illustration

How to fill out MEDICARE SHARED SAVINGS PROGRAM ACCOUNTABLE CARE ORGANIZATION PARTICIPATION AGREEMENT

01
Obtain the Medicare Shared Savings Program Accountable Care Organization Participation Agreement form from the official CMS website or your healthcare administrator.
02
Review the eligibility criteria to ensure that your organization meets the requirements for participation.
03
Fill out the organizational information, including the name, address, and Tax Identification Number (TIN).
04
Detail the ACO participants, providing the necessary information about each group or provider involved.
05
Specify the governance structure of the ACO, including decision-making processes and leadership roles.
06
Outline the population health management strategies the ACO intends to implement.
07
Indicate the quality measures the ACO plans to track and report.
08
Review the financial arrangements and shared savings distribution methods.
09
Sign and date the agreement, ensuring that it is authorized by a designated official of the organization.
10
Submit the completed agreement to the designated CMS office before the application deadline.

Who needs MEDICARE SHARED SAVINGS PROGRAM ACCOUNTABLE CARE ORGANIZATION PARTICIPATION AGREEMENT?

01
Healthcare organizations willing to participate in the Medicare Shared Savings Program to enhance care quality and receive shared savings.
02
Providers looking to collaborate with other healthcare entities to improve population health and care coordination.
03
Entities aiming to establish an Accountable Care Organization (ACO) to manage patient care and costs effectively.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.0
Satisfied
52 Votes

People Also Ask about

In conclusion, Accountable Care Organizations (ACOs) offer several advantages in healthcare, including improved care coordination, preventive care, and cost savings. However, they also face challenges such as complexity of implementation and potential misaligned incentives among providers.
Medicare Shared Savings Program (Shared Savings Program) ACOs are groups of doctors, hospitals, and other health care providers who collaborate to give coordinated high-quality care to people with Medicare, focusing on delivering the right care at the right time, while avoiding unnecessary services and medical errors.
We compare the performance of three ACO types (physician‐led, integrated, and hybrid) for three domains: quality, spending, and likelihood of achieving savings.
In order to qualify as an ACO, the organization has to serve a minimum of 5,000 Medicare patients for a period of 3 years. It also must have enough primary care doctors to service these patients efficiently. Other mandates include, but may not be limited to: Promote patient involvement.
In order to qualify as an ACO, the organization has to serve a minimum of 5,000 Medicare patients for a period of 3 years. It also must have enough primary care doctors to service these patients efficiently. Other mandates include, but may not be limited to: Promote patient involvement.
A: You are in an ACO because your healthcare provider chose to participate in an ACO. You can only opt out of the ACO by choosing a healthcare provider who is not participating in an ACO. However, you can tell Medicare not to share your healthcare information by contacting Medicare at 1-800-MEDICARE (633-4227).

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The Medicare Shared Savings Program Accountable Care Organization Participation Agreement is a contract through which healthcare providers voluntarily participate in the Medicare Shared Savings Program, aiming to improve quality of care and reduce healthcare costs for Medicare beneficiaries.
Healthcare providers and organizations that wish to participate in the Medicare Shared Savings Program must file the Medicare Shared Savings Program Accountable Care Organization Participation Agreement.
To fill out the Medicare Shared Savings Program Accountable Care Organization Participation Agreement, organizations must provide relevant information about their structure, participating providers, and commitment to meeting program requirements, ensuring all sections are completed accurately before submission.
The purpose of the Medicare Shared Savings Program Accountable Care Organization Participation Agreement is to outline the responsibilities and expectations for ACOs that aim to coordinate care and reduce costs for Medicare beneficiaries through shared savings incentives.
The information that must be reported on the Medicare Shared Savings Program Accountable Care Organization Participation Agreement includes details about ACO governance, provider participation, population health management strategies, quality performance measures, and financial risk-sharing arrangements.
Fill out your medicare shared savings program online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.