Health Affairs October 19, 2023
The Centers for Medicare and Medicaid Services (CMS) released the tenth year’s (2022) performance results for the Medicare Shared Savings Program (MSSP). This year represents the sixth consecutive year that the MSSP program achieved savings for Medicare, generating $1.8 billion in total savings (calculated against the spending benchmark net of ACOs’ earned shared savings, which may understate true savings as prior counterfactual studies have suggested), the second highest record for savings since the program’s inception. The number of participating accountable care organizations (ACOs) has increased for the first time since 2019 after dipping during pandemic-related program entry pauses (albeit the increase in ACO participants is at a lower rate compared to pre-pandemic performance years). Quality scores, however, are difficult to...