CMS Announces Next Generation ACO Benefit Enhancement

Beginning in January, Medicare will pay for certain care management home visits under the Next Generation Accountable Care Organization Model. Next Generation participants and preferred providers who have initiated a care treatment plan for aligned beneficiaries will be eligible to receive up to two care management home visits within 90 days of seeing that participant or provider. The change applies to program year three of the Next Generation model, which qualifies as an advanced alternative payment model under Medicare’s Quality Payment Program for clinicians.