Health Affairs October 25, 2019
Jonathan Gonzalez-Smith, William K. Bleser, David Muhlestein, Robert Richards, Mark B. McClellan, Robert S. Saunders

In late September 2019, the Centers for Medicare and Medicaid Services (CMS) released the performance results for the sixth year (2018) of Medicare’s flagship Accountable Care Organization (ACO) program, the Medicare Shared Savings Program (MSSP). Over the last several years and from a variety of different angles, we have tracked the progress of this program, which has generally shown good quality of care and outcomes, and modest but increasing cost savings over time, relative to CMS benchmarks.

The program’s 2018 performance builds on previous results. In 2017, the MSSP achieved net savings for Medicare relative to its benchmarks for the first time. In 2018, net savings per capita have more than doubled to $73 compared to $35 last year. Because...

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Topics: ACO (Accountable Care), CMS, Govt Agencies, Health System / Hospital, Insurance, Medicare, Patient / Consumer, Payment Models, Physician, Primary care, Provider, Value Based
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