Should we choose a one-sided or a two-sided ACO model?

The new accountable care organization (ACO) model is described in lengthy proposed regulations published in the Apr. 7, 2011 Federal Register.   These regulations, which implement Section 3022 of the Affordable Care Act, are open for public comment for two months.  For a quick look at the highlights of the proposed regs, you might enjoy reviewing the short analysis published by PricewaterhouseCoopers.  The PwC white paper includes a timeline of ACO implementation and a comparison of the potential financial impact of choosing a “one-sided model” versus a “two-sided model” for a large and a small ACO (based on number of beneficiaries).

Sources:

PricewaterhouseCoopers.  Stalking the ACO unicorn: what the proposed regulations for Accountable Care Organizations (ACOs) mean.  Our Perspective, Apr. 2011.

US Centers for Medicare & Medical Services.  Medicare program; Medicare shared savings program: Waiver designs in connection with the Medicare shared savings program and the innovation center; proposed rule and notice.  Federal Register. 76(67, Part II):19528-19660, Apr. 7, 2011.