FederalHealthcare

CMS – Medicare Shared Savings Program - Accountable Care Organization (ACO)

CMS – Medicare Shared Savings Program - Accountable Care Organization (ACO) — required surety bond in Federal. Apply online in minutes.

✉️ Your bond is delivered to your email after application · Questions? Call 814-718-0060

How to get this bond

1. Apply online
Click Apply Now and complete the secure application — takes about 5 minutes.
2. Instant review
Most applications are approved same-day at competitive rates.
3. Bond by email
Your official bond documents are delivered straight to your email.

What is this bond?

The CMS Medicare Shared Savings Program (MSSP) Accountable Care Organization (ACO) surety bond is a financial guarantee provided to the Centers for Medicare & Medicaid Services. It guarantees that the ACO will repay any shared losses it may owe to the federal government under the MSSP. If the ACO fails to pay these losses, the bond ensures CMS can recover the owed funds.

Who needs it?

This bond is typically required for Accountable Care Organizations participating in two-sided risk models within the Medicare Shared Savings Program. Healthcare provider groups and networks seeking to manage patient care and share in cost savings (while assuming downside risk) must secure this coverage to participate.

Why is it required?

CMS requires this bond as a repayment mechanism to protect the Medicare trust funds and taxpayers. It ensures that if an ACO fails to generate savings and instead incurs shared losses, the government has a secure way to recover the deficit. The bond acts as a safeguard against an ACO defaulting on its financial obligations to CMS.

How do I apply?

Click the Apply Now button to complete our secure, approximately 5-minute online application. Once submitted, our team at Noah Insurance Agency (814-718-0060) will review your information to find the best terms for your organization. Upon approval and payment, your bond will be delivered directly to you via email.

Common mistakes to avoid

  • Listing an applicant name on the bond that does not precisely match the legal entity name registered with CMS.
  • Failing to verify the exact required bond amount calculated by CMS for the specific performance year.
  • Allowing the bond to lapse or expire before CMS officially releases the ACO from its repayment obligations.
  • Not updating the surety company if the ACO's corporate structure or CMS participation track changes.

Frequently asked questions

How much does the CMS MSSP ACO surety bond cost?

Premiums vary depending on the required bond amount and the financial strength of the ACO. Because bond amounts are determined by CMS based on your specific program track and historical benchmarks, you should verify your required amount with CMS and apply online with Noah Insurance Agency for an exact premium quote.

How is the required bond amount determined?

The Centers for Medicare & Medicaid Services calculates the required bond amount based on your ACO's specific risk track, historical benchmark costs, and Medicare revenue. Requirements vary widely between organizations, so you must confirm your exact bond amount directly with CMS before purchasing.

Can I use this bond for other Medicare enrollment requirements?

No, this specific surety bond is solely a repayment mechanism for the Medicare Shared Savings Program to cover shared losses. Other Medicare programs, such as DMEPOS supplier enrollment, require entirely separate and distinct surety bonds.

How long does the ACO bond need to remain active?

The bond must typically remain active for the duration of the ACO's participation in the two-sided risk track, plus an extended tail period to cover potential audits and final settlements. Since exact duration requirements vary, you must verify the required coverage timeline directly with CMS.

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Why Noah Insurance Agency

  • 🇺🇸Licensed nationwide — all 50 states + DC
  • 🔒Secure online application, ~5 minutes
  • ✉️Bond documents delivered by email
  • 📞Real licensed agents: 814-718-0060

Questions about this bond?

Send us a note or call 814-718-0060 — a licensed agent will confirm the bond amount and requirements for you.

Noah Insurance Agency · Licensed Nationwide