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This bill amends Medicare law to establish a permanent full-risk Accountable Care Organization (ACO) program, allowing groups of healthcare providers to manage and coordinate care for Medicare beneficiaries under capitated payment models. The program would offer two tracks—a standard track requiring at least 2,500 aligned beneficiaries and a complex care track for patients with multiple chronic conditions starting with 250 beneficiaries. Participating ACOs would receive per-beneficiary monthly payments for primary care, total care, or claims-reduction arrangements, with providers sharing in 100 percent of savings and losses subject to discounts and risk corridors.
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