The Centers for Medicare & Medicaid Services today released a final rule that makes technical changes to the way financial targets are calculated for accountable care organizations in the Medicare Shared Savings Program. CMS will account for differences in regional health care spending when updating ACOs’ financial targets, rather than considering only an ACO’s historical financial performance. As urged by the AHA, CMS will phase in the new methodology to allow ACOs time to adjust over several performance periods. CMS also finalized an option to encourage ACOs that renew participation in the MSSP to accelerate their acceptance of performance-based risk. For more information, see the CMS factsheet.

Related News Articles

Perspective
Public
More than 34.1 million Americans were enrolled in a Medicare Advantage plan in 2025, accounting for 54% of all Medicare beneficiaries. We have seen enrollment…
Headline
A KFF analysis released Jan. 28 found that Medicare Advantage insurers made nearly 53 million prior authorization determinations in 2024, an increase…
Headline
The Centers for Medicare & Medicaid Services Jan. 26 released proposed changes to Medicare Advantage plan capitation rates and Part D payment policies for…
Headline
The AHA Jan. 26 expressed support and provided its perspective on certain provisions within the Centers for Medicare & Medicaid Services’ proposed…
Headline
The AHA Jan. 20 made recommendations to Congress on modernizing the Medicare Access and CHIP Reauthorization Act. Among the proposals, the AHA recommended…
Headline
The comment period for the Centers for Medicare & Medicaid Services' proposed rule for policies governing the Medicare Advantage and Part D programs for…