Managed Healthcare Executive June 17, 2022
The program implemented by the Trump administration is designed to put more Medicare Shared Savings Program ACOs into two-sided risk. An industry group has discouraged participation in the program.
Since its inception in 2012-2013, the CMS Medicare Shared Savings Program (MSSP) has cranked along like a roller coaster climbing steadily upward. Starting with 220 participating accountable care organizations (ACOs) and 3.2 million beneficiaries, it reached the high point in 2018 with 561 organizations covering 10.5 million people.
That was the same year that CMS unveiled Pathways to Success, its overhaul of MSSP’s ACO program aimed at increasing cost savings for the Medicare program by requiring more MSSP ACOs to assume two-sided risk: upside “shared savings” if they come in under...