Deloitte January 31, 2019
Prior to the Pathways to Success final rule, some people worried that proposed changes would begin to steer providers away from the Medicare Shared Savings Program. Instead, we believe the final rule—which the US Centers for Medicare and Medicaid announced December 21—actually strengthens the program by accelerating the transition to risk and promoting the shift to Medicare Advantage (MA).
Upside only is no longer an option
The final rule for Pathways to Success includes a clear objective of pushing more ACOs toward risk. Medicare Shared Savings Program (MSSP) three-year agreement periods in Tracks 1, 2, and 3 (in addition to the time-limited offering of Medicare Track 1+) are being replaced by Pathways to Success five-year agreement periods in BASIC and...