AISHealth July 11, 2016
The final Medicare Shared Savings Program (MSSP) benchmarking methodology and participation rules contain important changes that mean more accountable care organizations are likely to share in savings.
However, a few organizations that earned large bonus payments due to costs that were historically higher than the regional average will see lower shared savings payments, or possibly none at all.
The rule, finalized by CMS on June 6, largely follows the proposed rule that was unveiled Jan. 28 (VBC 3/16, p. 1). It also includes an option for some ACOs to spend a fourth year in MSSP Track 1 before committing to a higher track that also includes downside risk.
The changes in the benchmarking methodology are the most significant shifts in...
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