To amend title XVIII of the Social Security Act to establish a full risk ACO program.

The bill amends Title XVIII of the Social Security Act to establish a permanent full risk Accountable Care Organization (ACO) program for Traditional Medicare beneficiaries, allowing providers to participate in payment models that assume full financial risk for care costs and quality outcomes. It creates two tracks—standard and complex care—based on beneficiary health needs, with specific minimum enrollment requirements, quality reporting standards, and flexible payment options including capitation and claims reduction arrangements. Participating ACOs must enter into five-year agreements with the Secretary of Health and Human Services, are exempt from MIPS, and must provide coordinated,…

AI summary · The lawmakers haven’t published an official summary of this bill yet, so 52 wrote this one from the bill’s text.