CMS proposes Medicare ACO revamp to force risk

Dive Brief:

• CMS is proposing an overhaul of the Medicare Shared Savings Program (MSSP) that would force Accountable Care Organizations to take on financial risk sooner. While ACOs currently have six years to shift to a risk-bearing model, the proposed rule would give existing ACOs one year to shift and new ACOs two years.
• Currently, 82% of Medicare ACOs are in the upside-only MSSP track, meaning they share in savings but avoid sharing in losses. With this proposal, CMS anticipates 109 of the current 649 participants to drop out of the program by 2028.
• Critics, however, feel those numbers might be higher. A recent survey from the National Association of ACOs (NAACOS) showed 71.4% of ACOs would rather...

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