CMS Proposed Rule Would Overhaul the Medicare Shared Savings Program

In an August 9, 2018 proposed rule, the Centers for Medicare & Medicaid Services (CMS) seeks to redirect the Medicare Shared Savings Program (MSSP) on so-called “Pathways to Success.”¹  These proposed changes would move all MSSP Accountable Care Organizations (ACOs) to a two-sided or risk-assumption model within the next couple of years, and thereby (at least in theory) encourage the transition from volume to value-based care in the ACO space.²