ACO participation likely to lead to positive payment adjustments under MACRA

Healthcare DIVE April 3, 2017
Shannon Muchmore

Dive Brief:

• Participation in the Medicare Shared Savings Program (MSSP) is likely to increase performance scores under MACRA’s Merit-Based Incentive Payment System by as much as 30%, according to research by Caravan Health.
• Practices with high performance could earn up to a 25% payment adjustment in the 2018 performance year because of the CMS scaling factor and the exceptional performance bonus, the issue brief states.
• About 40% of eligible providers are expected to be in Track 1 MSSP accountable care organizations (ACOs), which have special scoring standards under MACRA.

Dive Insight:

This is the first year of collecting performance data under MACRA, which rewards providers for high quality care and compares them to other providers in their area....

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