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Payment Models

The Payment Models (PM) work group built on the work of the ACO standards work group to date and:

  • Continued to develop and recommend standards for the commercial shared savings ACO (SSP-ACO) model
  • Developed and recommended standards for the Medicaid SSP-ACO model
  • Developed and recommended standards for both commercial and Medicaid episode of care models
  • Developed and recommended standards for Medicaid pay-for-performance models
  • Reviewed the work of the duals demonstration work group on payment models for dual eligibles
  • Recommended mechanisms for assuring consistency and coordination across all payment models