Accountable Care Organization (ACO) - Alternative Minimum Tax (AMT) - A tax A health system model with the ability to intended to limit the extent to which higher- provide, and manage with patients, the income people can reduce their tax liability continuum of care across different (the amount they owe) through the use of institutional settings, including at least preferences in the tax code. Taxpayers ambulatory (outpatient) and inpatient subject to the AMT are required to hospital care and possibly post acute care. recalculate their tax liability on the basis of a ACOs have the capability of planning more limited set of exemptions, deductions, budgets and resources and are of sufficient and tax credits than would normally apply. size to support comprehensive, valid, and The amount by which a taxpayer’s AMT reliable performance measurement. The calculation exceeds his or her regular tax ACO model is one of the latest designs for calculation is that person’s AMT liability. managing healthcare costs and especially ; ; Medicare costs, and is gaining traction American Recovery and Reinvestment among policymakers desperate to control Act of 2009 (ARRA) - This act provided costs and boost quality in healthcare. appropriations for several federal programs and increased or extended some benefits Accrual accounting - A system of payable under Medicaid, unemployment accounting in which revenues are recorded compensation, and nutrition assistance, when they are earned and outlays are among others. ARRA also reduced recorded when goods are received or individual and corporate income taxes and services are performed, even though the made other changes to tax laws. actual receipt of revenues and payment for ; goods or services may occur, in whole or in Asset-Backed Security - Security backed part, at a different time. Compare with cash by real estate or another type of asset; a accounting. claim on an income flow, such as expected interest payments on loans, payments on Adjusted