AJMC December 5, 2023
Allowing nurse practitioners to serve as attribution-eligible providers for Medicare Shared Savings Program accountable care organizations leads to no change in hierarchical condition category risk scores and modest growth in attributed beneficiaries.
ABSTRACT
Objectives: Currently, the Medicare Shared Savings Program (MSSP) requires beneficiaries to have 1 or more visits with a qualifying physician to be attributed to an accountable care organization (ACO). Allowing primary care nurse practitioners (NPs) to serve as qualifying providers for the sake of attribution could be an effective way to expand access to the program but could potentially draw in sicker beneficiaries and increase an ACO’s benchmarks.
Study Design: This observational study assesses the potential impact of changing the MSSP attribution rules to include NPs and...
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