The Centers for Medicare & Medicaid Services Innovation Center announced a request for applications (RFA) for a second round of participants for the Comprehensive ESRD Care (CEC) Model. ESRD Seamless Care Organizations (ESCOs) that are accepted through this second application round will begin the model in January 2017.

The CEC Model is designed specifically for beneficiaries with ESRD and builds on experiences from other models and programs with ACOs, including the Pioneer ACO Model and the Medicare Shared Savings Program. In 2012, ESRD beneficiaries comprised 1.1% of the Medicare population and accounted for an estimated 5.6% of total Medicare spending. In the CEC Model, dialysis facilities, nephrologists, and other providers have joined together to form ESRD Seamless Care Organizations (ESCOs) to coordinate care for ESRD beneficiaries. ESCOs will be financially accountable for quality outcomes and Medicare Part A and B spending, including all spending for dialysis services, for their ESRD beneficiaries.

There are currently 13 organizations participating in the first round of the model. https://www.nephrologynews.com/cms-releases-renal-aco-participants/, including 12 ESCOs from large dialysis organizations and one from a smaller dialysis organization.

Participation requirements and application instructions are available on the CMS website here.