Individual stop-loss is now optional for Next Generation ACOs

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By Hugh Larson, Timothy J. Wilder, Annie Man, Coleen Young | 08 November 2017
Next Generation Accountable Care Organizations (NGACOs) now need to choose between whether they want to have their annual financial reconciliation based upon capped claims or uncapped claims. Previously, they didn’t have a choice and reconciliations were based upon capped claims. For some NGACOs, the choice between an annual financial reconciliation based upon capped claims or uncapped claims could have a significant impact.