Next Generation ACO Model

The Next Generation ACO Model builds upon the experience from the Pioneer ACO Model (which ended in 2016) and is designed for health care organizations that are already experienced in coordinating care for patients across care settings. It will allow these provider groups to assume higher levels of financial risk and reward than are available under the Shared Savings Program. The goal of the Next Generation ACO Model is to test whether strong financial incentives for ACOs, coupled with tools to support better patient engagement and care management, can improve health outcomes and lower expenditures for Medicare fee-for-service (FFS) beneficiaries.

The Next Generation ACO Model offers a new opportunity in accountable care - one that sets predictable financial targets, enables providers and beneficiaries greater opportunities to coordinate care, and aims to attain the highest quality standards of care. The Medicare Shared Savings Program collect and report on the same quality measures. However Next Generation ACO Model participants are not required to report on the Electronic Health Record (EHR) Incentive Program measure. They report on the following measures:

  • Patient experience survey measures
  • Claims-based measures
  • Measures reported via the ACO GPRO Web Interface (WI)

Visit the Next Generation ACO Model Program web page to learn more about our program and its requirements.

ACO Responsibilities for Survey Administration

All Next Generation ACOs active as of January 1, 2018 are responsible for contracting with an approved vendor to administer the survey. Vendors must use the patient sample they get from CMS and follow the survey administration procedures and timelines posted on our Quality Assurance Guidelines page.

Next Generation ACOs must complete the 2018 CAHPS for ACOs Survey vendor authorization process by September 18, 2018 and select a vendor from the final list of 2018 approved survey vendors. Each ACO participating in the CAHPS for ACOs Survey will receive information about how to access the electronic vendor registration in July 2018.

Next Generation Model ACOs may inform Medicare fee-for-service (FFS) beneficiaries about the survey. Any communication or outreach about the survey must be provided to all of an ACO's Medicare fee-for-service beneficiaries. For ACOs participating in the Next Generation Model, the appropriate template may be found on the Next Generation Model Connect Site.

The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for ACOs measures experience of care for ACOs participating in Medicare initiatives. It is based on the Clinician and Group (CG CAHPS) survey and includes additional program specific survey questions.

Survey Instruments for the 2018 reporting period.

Click here for information about training for survey vendors.

The survey administration protocols are contained in the CAHPS for ACOs Survey Quality Assurance Guidelines