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Declaration of Transparency



America’s ACO, LLC (AACO) believes transparency in business dealings and care delivery is an important aspect of our participation as an accountable care organization in the Medicare Shared Savings Program (MSSP). America’s ACO also believes public reporting

1) Fosters transparency and promotes informed patient choice

2) Engages stakeholders and providers
3) Lowers the costs of care
4) Improves quality
5) Improves compliance with program requirements. In the interests of transparency.

Legal Authority

Pursuant to Section 1899(f) of the Social Security Act (42 U.S.C. § 1395jjj), the Secretary of the Department of Health and Human Services has made available certain waivers of federal fraud and abuse laws in connection with the operation of ACOs that have entered into a participation agreement, as defined by 42 C.F.R. § 425.20, under the MSSP with the Centers for Medicare &  Medicaid Services.

Participation in the MSSP

America’s ACO has entered into a participation agreement with CMS, is in good standing under that participation agreement, and is therefore participating in the MSSP. The ACO began its participation in the MSSP on April 1, 2012.

ACO Participant Agreements

America’s ACO has entered into Participant Agreements with the providers in the Public Reporting Section of this document. The AACO Board of Directors has made a bona fide determination that agreements with its providers are reasonably related to the purposes of the MSSP because they

  1. promote accountability for quality, cost and overall care for its Medicare patient population
  2. promote the management and coordination of care for Medicare fee-for-service beneficiaries, and
  3. encourage investment in infrastructure and redesigned care processes for high quality and efficient service delivery for patients.

To the extent necessary, America’s ACO made this bona fide determination and makes this public reporting with the intent that the ACO’s relationship and agreements with its participants its be protected under applicable waivers described and cited to in Section II of this document.

ACO Distribution Plan

The America’s ACO Board of Directors has established a methodology by which ACO participants who have signed a Participant Agreement may receive distributions of shared savings, as that term is defined by 42 C.F.R. § 425.20. The AACO Board of Directors recorded this methodology in a document called a “Distribution Plan.” The Public Reporting Document provided in this section of the America’s ACO website demonstrates the America’s ACO commitment to transparency. The Public Reporting Document provides:

  • Name and Corporate Location of America’s ACO
  • Primary Contact Person
  • Listing of Participating Providers
  • Listing of Members of the Board of Directors (Governing Body)
  • Listing of Committees
  • Review of Shared Savings and Performance since America’s ACO inception
  • Quality Performance for the most recent performance year (note America’s ACO was started on 1/1/2020. The quality performance data for calendar year 2020 will not be available for public reporting until August 2021.)
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