Proposed Redesign of Medicare ACO Program

On August 8th, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule that would redesign participation options for the Medicare Shared Savings Program (MSSP) under a new model referred to as “Pathways to Success.”

The proposed rule would discontinue or replace all MSSP Tracks (1, 1+, 2, and 3) and implement two new tracks, BASIC and ENHANCED, beginning in 2019. The primary intent is to provide a stronger impetus for Accountable Care Organizations (ACOs) to accept downside performance risk.

CMS will accept comments on the proposed rule until October 16th. The proposed rule is available here, and our summary can be found here.