Leavitt Partners January 10, 2019

Today, Leavitt Partners released “Pathways to Success: Options for ACOs,” a white paper that reports on predictions of the options available to current Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs) under the recently finalized Pathways to Success rule.

Under the Pathways rule, ACOs will be designated either high or low revenue, based on claims data and practice revenues. This revenue determination will directly affect how quickly ACOs must take on downside risk. However, under the final rule, ACOs’ revenue status will not be known at the time they apply formally for the program.

Leavitt Partners’ research team used public and proprietary data sources to predict revenue status for 550 of the 560 currently active MSSP ACOs. The results...

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Topics: ACO (Accountable Care), CMS, Govt Agencies, Health System / Hospital, Insurance, Medicare, Payment Models, Physician, Primary care, Provider, RCM (Revenue Cycle Mgmt), Regulations
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