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HHS/CMS RIN: 0938-AQ22 Publication ID: Fall 2010 
Title: ●Medicare Shared Savings Program: Accountable Care Organizations (CMS-1345-P) 
Abstract: This rule would propose a shared savings program for provider groups to establish Accountable Care Organizations, agree to meet quality measures, and share in savings generated for Medicare by meeting certain benchmarks. Consistent with section 3022 of the Affordable Care Act of 2010, the shared savings program must be established by January 1, 2012. 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: No  Unfunded Mandates: No 
CFR Citation: Not Yet Determined     (To search for a specific CFR, visit the Code of Federal Regulations.)
Legal Authority: PL 111-148, sec 3022   
Legal Deadline:
Action Source Description Date
Final  Statutory    01/01/2012 

Statement of Need: This rule would propose a shared savings program for provider groups to establish Accountable Care Organizations (ACOs), agree to meet quality measures, and share in savings generated for Medicare by meeting certain cost and quality benchmarks beginning January 1, 2012. This rule is aimed at improving quality and Medicare expenditures for Medicare beneficiaries and the Medicare program.

Summary of the Legal Basis: Section 3022 of the Affordable Care Act of 2010 requires the Secretary to establish a shared savings program by January 1, 2012.

Alternatives: None. This is a statutory requirement.

Anticipated Costs and Benefits: Medicare expenditures will be adjusted beginning January 1, 2012.

Risks: If this regulation is not published, the shared savings program will not be established by January 1, 2012, as required by ACA, thereby violating the statute.

Timetable:
Action Date FR Cite
NPRM  01/00/2011    
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Federalism: No 
Included in the Regulatory Plan: Yes 
RIN Data Printed in the FR: No 
Agency Contact:
Terri Postma
Medical Officer
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicare, MS:C5-15-24, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-4169
Email: terri.postma@cms.hhs.gov