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 allows these organizations 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) patients.

Next Generation Model ACOs collect and report on 13 quality measures, including:

  • Patient/Caregiver Experience
  • Care Coordination/Patient Safety

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 with program start dates of January 1, 2021 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 2021 CAHPS for ACOs Survey vendor authorization process by the September 2021 due date and select a vendor from the final list of 2021 approved survey vendors. Each ACO participating in the CAHPS for ACOs Survey will receive information about how to access the electronic vendor registration in Summer 2021.

Next Generation Model ACOs may inform Medicare fee-for-service (FFS) patients about the survey. Any communication or outreach about the survey must be provided to all of an ACO's Medicare fee-for-service patients, and must abide by Next Generation Model guidance regarding patient communication.  

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.

The sample survey (mail version) for performance year 2021 is now available. 

Click here for information about training for survey vendors.

The survey administration protocols are contained in the CAHPS Survey for MIPS and Next Generation Model Quality Assurance Guidelines Version 2021.