Healthcare Informatics – BREAKING: CMS Proposes Sweeping Changes to MSSP ACO Program

“The Centers for Medicare & Medicaid Services (CMS) is proposing a new direction for ACOs (accountable care organizations) in the Medicare Shared Savings Program (MSSP), with the goal to push these organizations into two-sided risk models.”

“Referred to as “Pathways to Success,” CMS’ proposal, which has been expected for a few months, looks to redesign the program’s participation options by removing the traditional three tracks in the MSSP model and replacing them with two tracks that eligible ACOs would enter into for an agreement period of no less than five years: the BASIC track, which would allow eligible ACOs to begin under a one-sided model and incrementally phase-in higher levels of risk; and the ENHANCED track, which is based on the program’s existing Track 3, providing additional tools and flexibility for ACOs that take on the highest level of risk and potential rewards. At the highest level, BASIC ACOs would qualify as an Advanced Alternative Payment Model (APM) under the Quality Payment Program.”

“In CMS’ proposed rule, the agency internally estimates that more than…” Read the full article here.

Source: BREAKING: CMS Proposes Sweeping Changes to MSSP ACO Program – By Rajiv Leventhal and Heather Landi, August 9, 2018. Healthcare Informatics.

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