ACO Assignment Improvement Act of 2025

Key Points

• Starting Jan. 1, 2026, Medicare will also use primary care visits with nurse practitioners, physician assistants, and clinical nurse specialists to assign patients to Medicare ACOs.
• This changes how Medicare links you to an ACO in the shared savings program, which can affect which doctors and care teams are seen as responsible for coordinating your care.
• For many patients who mainly see a nurse practitioner or physician assistant for primary care, this makes it more likely they’ll be assigned based on those visits instead of only physician visits.
• If you’re assigned to an ACO, your care team may do more outreach (like care coordination calls or follow-ups) because the ACO is being measured on your care and costs.
• The bill updates the Social Security Act rules for Medicare’s ACO program; it does not describe changes to Medicare eligibility or your right to choose providers.

Votes

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Related Bills

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