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CMS Proposed ACO Rule to Extend One-Sided Risk Track While Incentivizing Performance-Based Risk
McDermott Will & Emery Link to more items from this source
[Guidance Overview]
Dec. 21, 2014
"The Proposed Rule shows CMS's awareness of the challenges facing many [Medicare Shared Savings Program (MSSP)] ACOs and the likely need for further changes to improve MSSP ACOs' return on investment through modifications to the financial methodology and additional tools to manage Medicare fee-for-service populations. Most notably, CMS has proposed to allow MSSP ACOs to continue with MSSP's one-sided risk track for a second three-year term, but at a lower maximum shared savings rate, and to add a modified two-sided risk track that offers greater potential financial rewards and, for the first time, prospective beneficiary assignment."

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