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The ACO Investment Model was a model of pre-paid shared savings that built on the experience with the Advance Payment Model. In developing the Advance Payment ACO Model, CMS responded to input from stakeholders received on the proposed rule for the Shared Savings Program, and comments received (PDF) on the initial Advance Payment Model announced in May 2011. The purpose of the ACOM is to consolidate and provide ease of access to the Administrative, Claims, Financial, and Operational Policies of the AHCCCS Administration. This model tested the use of pre-paid shared savings to encourage new ACOs to form in rural and underserved areas and to encourage current Medicare Shared Savings Program ACOs to transition to arrangements with greater financial risk. CMS provided financial support to these ACOs to make infrastructure investments and develop new ways to improve care for Medicare beneficiaries. ACOs are groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high-quality care to their Medicare patients. Note: The GMCB's website has been recently updated. Its participating primary care physicians are located in Lake, Orange, Osceola and Polk Counties. The following Advance Payment ACOs were announced for the performance period that began on January 10, 2013: American Health Alliance (Ocala, FL)American Health Network of Ohio PC (Indianapolis, IN)Central Florida Physicians Trust (Winter Park, FL)Fort Smith Physicians Alliance ACO (Fort Smith, AR)KCMPA (Kansas City, MO)Lower Shore ACO LLC (National Harbor, MD)National ACO (Beverly Hills, CA)Nature Coast ACO, LLC (Beverly Hills, FL)Northeast Florida Accountable Care (Jacksonville, FL)NOMS ACO, LLC (Sandusky, OH)Owensboro ACO (Owensboro, KY)Physicians Collaborative Trust (Maitland, FL)Primary Partners (Clermont, FL)Rio Grande Valley Health Alliance (McAllen, TX)SERPA-ACO (Crete, NE). PriMed, LLC, located in Shelton, Connecticut, is comprised of ACO group practices, with 116 physicians. Maryland Accountable Care Organization of Eastern Shore LLC, located in National Harbor, Maryland, is comprised of ACO group practices, networks of individual ACO practices, with 61 physicians. This ACO then contracts with a payer to provide care for a patient population and meet certain quality and cost benchmarks for that population over a set period of time. St. Thomas Medical Group PLLC, located in Nashville, Tennessee, is comprised of ACO group practices, with 41 physicians. What is an ACO? The following Advance Payment ACOs were announced for the performance period that began on July 1, 2012: Accountable Care Partners, LLC, located in Jacksonville, Florida, is comprised of ACO group practices and networks of individual ACO practices, with 65 physicians. The Jackson Purchase Medical Associates, PSC serves Medicare beneficiaries in the Jackson Purchase area of Western Kentucky centered in Paducah. This model of care is one of the ways created by the Affordable Care Act to reduce health care costs while improving quality of care. The Advance Payment Model was designed for physician-based and rural providers who have come together voluntarily to give coordinated high quality care to the Medicare patients they serve. The following Advance Payment ACOs were announced for the performance period that began on April 1, 2012: Coastal Carolina Quality Care is an ACO created to serve Medicare fee-for-service beneficiaries in North Carolina. The ACO has completely and accurately reported quality measures to the Medicare Shared Savings Program in the most recent performance year, if the ACO started in the Medicare Shared Savings Program in 2012, 2013 or 2014, excluding ACOs starting in 2015 or 2016. The ACO is expected to serve over 6,000 beneficiaries. The facilities offer full service on site laboratory and diagnostics. It will serve Medicare beneficiaries in Connecticut. It will serve Medicare beneficiaries in Indiana and Kentucky. 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