CMS finalizes ACO overhaul, shortening pathway for financial risk

Fierce Healthcare | by Evan Sweeney | Dec 21, 2018

The Centers for Medicare & Medicaid Services (CMS) finalized substantial changes to the Medicare Shared Savings Program (MSSP), an overhaul that will truncate the time that Accountable Care Organizations can remain in one-sided risk models.

CMS said the highly-anticipated 957-page final rule (PDF) issued Friday morning “dramatically redesigns” the program to ensure more ACOs in the program take on real risk. When the proposed rule was issued over the summer, CMS Administrator Seema Verma emphasized the need to shift ACOs to take on more financial risk, adding that the agency wants to “start working with ACOs that are serious about delivering value.” Read the article…

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