Health Affairs November 13, 2020
J. Michael McWilliams, Alice Chen

In part 1 of this two-part blog post, we provided a rigorous and nuanced interpretation of Medicare Shared Savings Program (MSSP) performance data and described problems with the program’s design. In this post, we lay out key considerations for improving the MSSP over the long haul. Our objective is to help get a repeatedly derailed conversation back on track.

Reforming The MSSP—The Conversation We Should Be Having

To achieve the MSSP’s long-term goals as the centerpiece of payment reform in the traditional Medicare program, significant design changes are needed. Below, we discuss those we believe will be most decisive in achieving success. We assume that the program will remain voluntary but note that the distinction between voluntary and mandatory is...

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