CAHPS for ACOs
Overview: The CAHPS for ACOs survey was developed to collect information about patient experience of care received from Accountable Care Organizations (ACOs) participating in the Medicare Shared Savings Program (Shared Savings Program) and the Next Generation ACO Model. The Shared Savings Program is a voluntary program that encourages groups of doctors, hospitals, and other health care providers to come together as an ACO to give coordinated, high quality care to their Medicare patients. The Next Generation ACO Model is an initiative for ACOs that are experienced in coordinating care for populations of patients. The goal of the Model is to test whether strong financial incentives for ACOs, coupled with tools to support better patient engagement and care management, can improve health outcomes and lower expenditures for Original Medicare fee-for-service (FFS) beneficiaries.
About the survey: The CAHPS for ACOs survey is administered annually to samples of Medicare beneficiaries that receive care from providers that participate in ACOs. The survey uses a mixed mode data collection that includes two survey mailings and follow-up phone calls to beneficiaries that did not respond to the mailed questionnaire. The survey includes the core questions contained in the CAHPS Clinician & Group Survey (Version 3.0), plus additional questions to measure access to and use of specialist care, experience with care coordination, patient involvement in decision-making, experiences with a health care team, health promotion and patient education, patient functional status, and general health.
Public reporting and policy relevance: The ACO quality measure set spans four quality domains: Patient/Caregiver Experience, Care Coordination/Patient Safety, Preventive Health, and At-Risk Population. Each domain is 25 percent of an ACO’s quality score. The CAHPS for ACOs Summary Survey Measures (SSMs) comprise the Patient/Caregiver Experience domain. For more information on the Shared Savings Program quality measure set please see the Shared Savings Program quality webpage.
Shared Savings Program ACO quality scores and financial data are reported on Data.CMS.gov and Next Generation ACO Model quality and financial data is available on the Next Generation ACO Model website. Survey results may also be reported on Physician Compare and used in the Quality Payment Program (QPP), please visit the Physician Compare and QPP websites for additional information.