ACO Assignment Improvement Act of 2024
This legislative update is expected to improve healthcare delivery by potentially increasing the number of healthcare providers involved in the Medicare shared savings program. By allowing nurse practitioners and other non-physician providers to play a critical role in the process, the bill aims to bolster the emphasis on primary care services. This shift may lead to better access to care for Medicare beneficiaries and enhance the coordination between various providers within the Medicare system.
House Bill 7665, known as the ACO Assignment Improvement Act of 2024, seeks to amend Title XVIII of the Social Security Act in order to enhance the assignment process for beneficiaries within the Medicare shared savings program. This bill specifically aims to include consideration of primary care services provided by nurse practitioners, physician assistants, and clinical nurse specialists in the assignment of beneficiaries to Accountable Care Organizations (ACOs). The proposed changes are scheduled to take effect for performance years starting January 1, 2025.
While proponents of HB 7665 argue that incorporating non-physician providers in the assignment process will enhance patient care and streamline service delivery, opponents may express concerns regarding the quality and consistency of care. Skeptics of this change might worry that expanding the criteria for beneficiary assignment could dilute the standard of care received under the program or complicate the administration of Medicare, which has historically been focused on physician-led services. The debate surrounding this bill underscores the broader discussion on the role of various healthcare providers within public health programs.