The Centers for Medicare & Medicaid Services yesterday released a final rule on changes to the Medicare Shared Savings Program and provisions relating to Medicare payments to providers of services and suppliers participating in Accountable Care Organizations under the MSSP. Among other provisions, CMS finalized allowing non-risk-bearing ACOs to participate for an additional agreement period, changing the methodology for assigning beneficiaries to ACOs, creating a third track for MSSP participation, and providing additional data to help ACOs better manage care. The changes generally apply to existing ACOs and approved ACO applicants participating in the program beginning Jan. 1, 2016. “Yesterday’s rule makes some positive changes and provides additional flexibility to the MSSP,” said Linda Fishman, AHA senior vice president of public policy analysis and development. “Hospitals are enthusiastic about the program as one pathway to advance their ongoing efforts to transform care delivery as a way to improve patient care and reduce costs. However, the program needs additional reforms to make it more attractive to new participants and existing ACOs.” AHA members today received a Special Bulletin with further details.

Related News Articles

Headline
The Government Accountability Office today named three new members to the Medicare Payment Advisory Commission through April 2023. They are: Wayne…
Headline
More than half of U.S. adults aged 70 and older have experienced a disruption in their medical care during the first month of social distancing for COVID-19,…
Headline
The AHA and other national hospital organizations today urged the Department of Health and Human Services and Centers for Medicare & Medicaid Services to…
Headline
The Medicare Hospital Insurance Trust Fund will have sufficient funds to pay full benefits until 2026, according to the latest annual report from the…
Headline
The Centers for Medicare & Medicaid Services recently granted Section 1135 Medicaid waivers for the COVID-19 emergency to Puerto Rico and the Commonwealth…
Headline
The Centers for Medicare & Medicaid Services clarified that the agency is waiving the Medicare coverage requirement for a three-day prior hospitalization…