Resource Library
Outlined below are key NAACOS resources related to Medicare regulations, policies, and programs. Member sign-in is required to access most of the resources outlined below.
Regulations
- Physician Fee Schedule (PFS)
- CY 2026: Proposed Rule Analysis (08/25) and Webinar (07/25), NAACOS Comments (09/25), Final Rule Summary (11/25), Final Rule Webinar (11/25) Quality Payment Program Provisions Summary (11/25), and Ambulatory Specialty Model Summary (11/25) and ASM Webinar (01/26)
- Medicare Advantage
- Technology
- Interoperability Standards and Prior Authorization for Drugs Proposed Rule Summary (05/26
- Inpatient Prospective Payment System (IPPS)
- FY2027:
- Proposed Rule Summary (05/26); CJR-X Model Summary (04/26); TEAM Side-by-Side Changes (04/26)
- FY 2026:
- Proposed/Final Rule Side-by-Side (08/25), NAACOS Comments (06/25)
- The “Transforming Episode Accountability Model” (TEAM) The “Transforming Episode Accountability Model” (TEAM) (08/25); Webinar: Preparing for TEAM (09/24)
- FY2027:
- Setting Specific Payment Systems
- Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS): FY2027 Proposed Rule Highlights (05/26)
- FY27 Hospice Proposed Rule Summary (05/26)
- FY27 Skilled Nursing Facility Proposed Rule Summary (05/26)
ACO Resources
- UPDATED: ACO Comparison Chart (04/26)
- Medicare ACO Stats (updated annually)
- ACO Drivers for Success (09/24)
- ACO Compliance Manual (updated annually)
- MSSP
- Model Overview:
- Assessment: High-Low Revenue Designations (08/24)
- MSSP Summary Resource (05/23)
- Model Overlap Chart: CMMI and ACOs (04/23)
- Financial Methodology Webinar: A Look into MSSP Benchmark Report Trends and Implications (05/22)
- Quality: Quality Reporting Basics Fundamentals Presentation (11/25)
- Beneficiary Attribution: Fundamentals Presentation (06/25)
- Webinar: Beneficiary Notification Requirements (06/23)
- Model Overview:
- REACH
- Quality: Overview: ACO REACH Quality Measurement Methodology (05/23)
- Beneficiary Attribution: Fundamentals Presentation (06/25)
- LEAD:
Innovation Center Models
- NEW: Virtual Fireside Video with CMMI Director Sutton (04/26)
- ACCESS: Webinar (01/26), Webinar Slides (01/26), Blog post (02/26)
- ELEVATE: Summary
- GUIDE Model: Overview for ACOs (01/24)
- ASM: Webinar (01/26), Webinar (02/26)
- CJR-X:
- Webinar (05/26)
- Proposed Rule Summary (04/26)
Cross-Cutting Topics
- Beneficiary Engagement:
- Reimagining Beneficiary Engagement in Accountable Care Models (03/26); Webinar (07/24)
- Patient Experience Tips and Tricks Webinar (06/25)
- ACO Beneficiary Representative Board Orientation Video (09/24),
- Recruiting & Engaging Patient Representatives: Foundations & Best Practices for ACOs (04/24)
- Survey Results: ACO Patient Engagement Strategies (10/23)
- Health Technology:
- HTI-5 Proposed Rule (01/26); NAACOS Comments (02/26); Health Data Technology, and Interoperability (HTI-2, HTI-3, and HTI-4) Rules_HTI-2 Update (01/26)
- TEFCA Webinar (05/25)
- Innovation Spotlight Series (04/26)
- Fraud, Waste, and Abuse
- Factsheet (10/25)
- Forum on Fraud, Waste, and Abuse (12/25)
- Analysis of Suspected Fraudulent DME Codes 2023-2025, Q3 (02/26)
- PBACO Resources: PBACO Fraud Process Slides, Template Patient Attestation, Template PCP Request for Care Plan Letter (02/26)
- Skin Substitutes:
- Specialty Engagement
- Specialty Engagement in Accountable Care Toolkit (05/26), Webinar (05/26)
Medicare Advantage
- Comments: CY 2027 Advance Notice Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies (02/26)
- Comments: Unleashing Prosperity Through Deregulation of the Medicare Program RFI (01/26)
- Comments: Contract Year 2027 Policy and Technical Changes to the Medicare Advantage and Part D Programs Proposed Rule (01/26)
- Webinar: MA Bids Process (11/24)
- Webinar: MA Current Landscape and Future Reform (09/24)
Medicaid
- Webinar Series (2025)
Value Across Payers
- Playbook: The Future of Sustainable Value-Based Payment: Voluntary Best Practices to Advance Data Sharing (2023)
- Playbook: Creating a Sustainable Future for Value-Based Care; A Playbook of Voluntary Best Practices for VBC Payment Arrangements (2024)
- Webinar: Attribution and Benchmarking (2025)
- Webinar: Payer-Provider Partnerships (2025)
- Webinar: Levels of Financial Risk (2025)