Lexology July 18, 2024
DLA Piper

On July 10, 2024, the Centers for Medicare and Medicaid Services (CMS) issued the Contract Year 2025 Medicare Physician Fee Schedule (CY2025 MPFS) proposed rule. Among many proposals, CMS seeks to implement updates to the Medicare Shared Savings Program (MSSP) and the Quality Payment Program. The following provides an overview of the changes to these programs. Please also see our alert covering other proposals in the CY2025 MPFS proposed rule.

Medicare Shared Savings Program

CMS has proposed numerous changes to the MSSP. Key proposals include:

  • Sunsetting ACO termination for having fewer than 5,000 assigned beneficiaries. For performance year 2025 and beyond, CMS would no longer require termination of an ACO whose assigned beneficiaries fall below the statutorily required 5,000....

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Topics: ACO (Accountable Care), CMS, Govt Agencies, Insurance, Medicare, Payment Models, Physician, Provider, Value Based
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