Health Affairs July 17, 2018
S. Lawrence Kocot, Ross White

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...

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