CMS Overhauling Medicare Shared Savings Program

Thoughtware Alert Published: Jan 03, 2019
Nurse and Patient

On December 21, 2018, CMS finalized a proposal to overhaul the Medicare Shared Savings Program. For Accountable Care Organizations (ACO) looking to get started right away, the new program, “Pathways to Success,” will take effect on July 1, 2019. There will be a BASIC track, which has a five-year performance period and offers two to three years of one-sided risk, and an ENHANCED track for those ACOs with prior experience. CMS reduced the shared savings rate from 50 to 40 percent for ACOs during the upside-only phase and maintained the 50 percent savings rate for risk-bearing performance years. Organizations looking to submit the Notice of Intent to Apply (NOIA) must do so by January 18, 2019.

The BKD Health Care Performance Advisory Services team has worked with many ACOs across the country and offers a suite of ACO services, including:

  • Readiness Assessment
  • Strategic Services
  • Financial Modeling
  • Application Assistance
  • Establishing Governance & Oversight
  • Clinical & Operational Implementation Support
  • Estimating Settlements
  • Compliance
  • Gainsharing

To learn more about the “Pathways to Success” program or to begin the application process, contact Eric or your trusted BKD advisor.

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