Health Affairs July 17, 2018
In a previous post, we examined how accountable care organizations (ACOs) would be impacted by a policy requiring a move to two-sided risk after the expiration of their current three-year term, along with the arguments for allowing ACOs to remain in one-sided risk in the Medicare Shared Savings Program (MSSP). In this, the second in our two-part series, we examine the arguments for requiring providers to transition from one-sided to two-sided risk in MSSP after their first or second three-year performance cycle. We close by offering a potential policy path forward.
CMS’ Original Intent For The Program
The Centers for Medicare & Medicaid Services (CMS) has already relaxed risk-bearing requirements for MSSP participants on multiple occasions. In the initial MSSP...