ACO Improvement Act of 2016
Official title: To amend title XVIII of the Social Security Act to improve the Medicare accountable care organization (ACO) program, and for other purposes.
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Referred to the Subcommittee on Health.
ACO Improvement Act of 2016
This bill amends title XVIII (Medicare) of the Social Security Act to allow an accountable care organization (ACO) to: (1) reduce or eliminate certain cost-sharing for primary care services provided within the ACO's network; (2) develop incentives to encourage patient engagement; (3) elect prospective assignment of Medicare fee-for-service beneficiaries; and (4) if specified requirements are met, distribute internal cost savings.
The Centers for Medicare & Medicaid Services (CMS) shall waive specified regulatory requirements for ACOs that have elected to share in both savings and losses under a "two-sided risk model."
In addition, the bill: (1) requires CMS to waive, with respect to certain ACOs, specified limitations regarding telehealth services; (2) allows certain ACOs to depart slightly from specified minimum enrollment requirements; (3) requires CMS to establish a demonstration project for allowing growth of certain prospective risk scores; (4) and allows CMS to make permanent certain ACO-related pilot programs that have been successful.
- Introduced in House Formatted Text PDF Formatted XML
Cite this page
U.S. Congress. (2026). H.R. 6101: ACO Improvement Act of 2016. 114th Congress. Open America. https://openamerica.io/bill/114-HR-6101/
"H.R. 6101: ACO Improvement Act of 2016." 114th Congress, 2026, Open America, https://openamerica.io/bill/114-HR-6101/.
H.R. 6101, 114th Cong. (2026), https://openamerica.io/bill/114-HR-6101/.
[H.R. 6101: ACO Improvement Act of 2016](https://openamerica.io/bill/114-HR-6101/)