Health Affairs September 14, 2020
Seema Verma

Over the last three years, under the Trump Administration, the Centers for Medicare & Medicaid Services (CMS) has been advancing innovative payment and service delivery models to help move our health care system from one that pays for volume to one that rewards providers for keeping patients healthy, improving health outcomes and lowering costs. A critical feature of value-based care is organizations taking on downside financial risk and accountability for the cost and quality of care their patients receive.

CMS’ Medicare Shared Savings Program is our largest value-based payment program in fee-for-service Medicare for “Accountable Care Organizations” or ACOs. ACOs are groups of health care providers that voluntarily agree to be held accountable for the quality, cost, and experience of...

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