- February 11, 2016
3:00 pm - 4:00 pm
The Centers for Medicare & Medicaid Services (CMS) recently released the long-awaited proposed rule that would modify the methodology for establishing, adjusting, and updating ACO benchmarks for ACOs participating in the Medicare Shared Savings Program (MSSP). CMS intends to streamline the methodology, encourage more providers to transition to a risk-based track and provide greater administrative finality around the program’s calculations. Comments are due to CMS by March 28, 2016. View this archived webinar for a summary of the proposal, including:
- Moving from national to regional spending growth trends;
- Considering the difference between fee-for-service (FFS) spending in the ACO’s regional service area and the ACO’s historical spending; and
- Modifying the rebased benchmark update (based on national FFS spending) to incorporate changes in regional FFS spending.
We will also review CMS’s proposed program-wide changes, including:
- Only using FFS expenditures of Medicare beneficiaries eligible for assignment to an ACO for program calculations;
- Streamlining the adjustment methodology when an ACO’s participant Tax Identification Number (TIN) composition changes; and
- Allowing ACOs to continue for a fourth year in a Track 1 agreement before transitioning into a risk-bearing track.
This Advisor Live® presentation is open to the public.