October 01, 2018

CMS Proposed Rule Would Overhaul the Medicare Shared Savings Program

Hal Katz and Julia Zaft, Husch Blackwell LLP, Austin, TX

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

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