Delivery and Payment Models
The Affordable Care Act has been a catalyst for developing new health care delivery and payment systems that will improve outcomes, decrease cost, and restructure reimbursements.
Patient Centered Medical Homes (PCMH) and Accountable Care Organizations (ACO) are two of the new models that are being tested across the country. The Centers for Medicare and Medicaid Services (CMS) are also awarding "innovation grants" to health care organizations, academic institutions and not for profits who are testing other models of care and reimbursement.
ACP's Center for Practice Improvement and Innovation (CPII) is an important resource for anyone who wants to better understand these models and can be your partner in working through an implementation.
We have provided a broad array of resources on Patient Centered Medical Home, Accountable Care Organizations and the CMS Innovation Grant process.
- Patient-Centered Medical Home
The Patient Centered Medical Home is a care delivery model whereby patient treatment is coordinated through the primary care physician to ensure patients receive the necessary care when and where they need it, in a manner they can understand.
Care is facilitated by registries, information technology, health information exchange and other means to assure that patients get the indicated care when and where they need and want it in a culturally and linguistically appropriate manner. Learn More
- Accountable Care Organizations
An Accountable Care Organization (ACO) is a formally organized entity, consisting of physicians, hospitals and other relevant health service professionals that have elected to join together and are responsible through contracts with payers for providing a broad set of health care services to their Medicare patients. Learn More
- Other Care Models
Under the Affordable Care Act, Congress created the Center for Medicare & Medicaid Innovation (CMMI) with the authority and direction to “test innovative payment and service delivery models to reduce program expenditures, while preserving or enhancing the quality of care” for those who get Medicare, Medicaid or CHIP benefits. Learn More
Multimedia Learning Resources
Earn CME Credits
Earn CME Credits through attending live meetings, working online, or watching course recordings on your own schedule.
MKSAP 16 Holiday Special: Save 10%
Use MKSAP 16® to earn MOC points, prepare for ABIM exams and assess your clinical knowledge. For a limited time save 10% when you use priority code MKPROMO! Order now.
Maintenance of Certification:
What if I Still Don't Know Where to Start?
Because the rules are complex and may apply differently depending on when you last certified, ACP has developed a MOC Navigator. This FREE tool can help you understand the impact of MOC, review requirements, guide you in selecting ways to meet the requirements, show you how to enroll, and more. Start navigating now.