“A long-awaited proposal from the Trump administration will ask Accountable Care Organizations (ACO) to take on more risk going forward, a move that is likely to drive providers out of the program.
The proposed rule (PDF) issued by the Center for Medicare & Medicaid Services (CMS) on Aug. 9, shrinks the amount of time ACOs can be in an upside only model to two years. Currently, 82 percent of ACOs participating in the Medicare Shared Savings Program (MSSP) are in an upside only model.
Additionally, those in a Track 1 upside only model would only be able eligible to take in 25 percent of any savings. Under the current program, Track 1 ACOs take a 50 percent cut. In an upside model, ACOs get a portion of any savings generated in treating patients but are still paid by CMS if they incur losses.”
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