In the Headlines
July 25, 2022

Easing Risk, CMS Seeks to Entice New Entrants in Shared Savings Program

Part B News

Senior Public Affairs Advisor Suzanne Joy was cited in a Part B News article discussing the Medicare Shared Savings Program. The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule modifying the tracks available for Accountable Care Organizations (ACOs) that aims to address issues with attracting and retaining program participants. For example, one of the proposed changes is expanding the criteria to qualify for shared savings for certain low-revenue ACOs participating in the BASIC track that do not meet the minimum saving rate. Another creates a 3 percent cap on prospective risk scores for ACO patient populations that are medically complex and high risk. Ms. Joy said these changes would be "huge," adding that generating more participation will lead to more savings program-wide.

"[Under the current system], you were kind of left footing the bill if you happened to get a lot of complex patients," she said. "...It's a voluntary program, which is another big piece of this. So you want more people join the party, and in order to do that, you need to give them some strong incentives to participate."

READ: Easing Risk, CMS Seeks to Entice New Entrants in Shared Savings Program (Subscription required)

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