16 Del. Admin. Code § 80000-2.0

Current through Register Vol. 28, No. 7, January 1, 2025
Section 80000-2.0 - Definitions

"Accountable Care Organization" or "ACO" means a group arrangement in which health care practitioners (e.g., hospitals, physicians, other health care providers) agree to assume responsibility for the quality, outcomes and cost of health care for a designated group of Medicaid and/or CHIP beneficiaries.

"ACO Contract" means a contract formed between an ACO and an MMCO that includes payment via a value-based purchasing arrangement as defined by DHSS.

"ACO Requirements" means standards developed by DHSS outlining the qualifications needed for an ACO to participate in the program.

"Value-Based Purchasing" or "VBP" means a model for provider reimbursement that promotes value over volume, such as a shared savings or risk-based arrangement.

16 Del. Admin. Code § 80000-2.0

23 DE Reg. 659( 2/1/2020) (final)