Request for Information Regarding Accountable Care Organizations and the 
Medicare Shared Saving Program (CMS-1345-NC)

The Affordable Care Act seeks to improve the quality of health care services 
and to lower health care costs by encouraging providers to create integrated 
health care delivery systems. The integrated systems will test new 
reimbursement methods intended to create incentives for health care providers 
to enhance health care quality and lower costs.  The Medicare Shared savings 
program under section 3022 of the Affordable Care Act, which promotes the 
formation and operation of accountable care organizations (ACOs) is one 
important delivery system reform where groups or providers meeting the criteria 
specified by the Secretary may work together to manage and coordinate care for 
Medicare beneficiaries through an ACO. In addition, section 3021 of the 
Affordable Care Act establishes a Center for Medicare and Medicaid Innovation 
(CMMI) within the Centers for Medicare and Medicaid Service (CMS), which is 
authorized to test innovative payment and service delivery models.

As we develop our initial rulemaking for the Shared Savings Program and begin 
the development of potential models in CMMI, we are seeking request for 
comments regarding certain aspects of the policies and standards that will 
apply to accountable care organizations (ACOs) participating in the Medicare 
program under section 3021 or 3022 of the Affordable Care Act.

To be assured consideration, comments must be received no later than December 
3,  2010.

Link to Federal Register on (11/12):
http://www.ofr.gov/OFRUpload/OFRData/2010-28996_PI.pdf

(Please note: Once this notice will publish in the Federal Register  11/17/10 
the above link will change.)



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November Flu Shot Reminder



Each Office Visit is an Opportunity. Medicare patients give many reasons for 
not getting their annual flu vaccination, but the fact is that there are 36,000 
flu-related deaths in the United States each year, on average. More than 90% of 
these deaths occur in people 65 years of age and older. Please talk with your 
Medicare patients about the importance of getting their annual flu vaccination. 
This Medicare-covered preventive service will protect them for the entire flu 
season. And remember, vaccination is important for health care workers too, who 
may spread the flu to high risk patients. Don't forget to immunize yourself and 
your staff. Protect your patients. Protect your family. Protect yourself. Get 
Your Flu Vaccine - Not the Flu.



Remember - Influenza vaccine plus its administration are covered Part B 
benefits. Note that influenza vaccine is NOT a Part D covered drug. For 
information about Medicare's coverage of the influenza vaccine and its 
administration, as well as related educational resources for health care 
professionals and their staff, please visit the following CMS websites 
http://www.cms.gov/MLNProducts/Downloads/Flu_Products.pdf and 
http://www.cms.gov/AdultImmunizations.




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