The AHA appreciates certain steps the Centers for Medicare & Medicaid Services is taking to improve the stability and flexibility of the Medicare Shared Savings Program; however, the association is concerned that “as a whole, the proposals in the rule would likely result in significant decrease in MSSP participation,” AHA told the agency today. 

“While such an outcome may very well be CMS’s expectation, it unfortunately disregards many of the lessons we have learned from the current program,” AHA wrote in response to CMS’s recent proposed rule that would make changes to the MSSP and provisions relating to Medicare payments to providers of services and suppliers participating in accountable care organizations under the MSSP.

Specifically, AHA urges CMS not to finalize the proposed differentiation of participation options for high- and low-revenue ACOs. Instead, CMS should improve its program methodology to accurately reward performance for improving quality and reducing costs, and offer resources and assistance to all ACOs, AHA said. 

The agency also should allow ACOs that are new to the program three years in upside-only risk, rather than two, as proposed, AHA said. In addition, the agency should maintain the ability for ACOs to elect to move into downside risk prior to completing three performance years, if they so wish. 

AHA also offered recommendations related to expansion of access to waivers; proposed changes to benchmarking methodology; and election of minimum savings rate/minimum loss rate. 
 

Related News Articles

Headline
The Centers for Medicare & Medicaid Services will accept comments through March 3 on its advance notice of proposed changes to Medicare Advantage plan…
Headline
The House last night voted 220-210 to pass legislation (H.R.382) that would immediately terminate the COVID-19 public health emergency, and 227-203 to pass…
Headline
The Centers for Medicare & Medicaid Services yesterday finalized technical details regarding the Medicare Advantage Risk Adjustment Data Validation…
Headline
Over 700,000 physicians, hospitals and other health care providers will collaborate to coordinate care for 13.2 million Medicare patients through three…
Headline
The recently enacted Consolidated Appropriations Act delays by one year, until Jan. 1, 2024, payment reductions of up to 15% under the Medicare Clinical…
Headline
The Medicare Payment Advisory Commission today voted to recommend that Congress update Medicare payment rates for hospital inpatient and outpatient services by…