Early Evidence on Medicare ACOs and Next Steps for the Medicare ACO Program

Health Affairs Blog

S. Lawrence Kocot, Member of the Firm in the Health Care and Life Sciences practice, in the firm’s Washington, DC, office, co-authored a blog post for Health Affairs Blog, titled “Early Evidence on Medicare ACOs and Next Steps for the Medicare ACO Program.”

Following is an excerpt:

On December 1, CMS released a Notice of Proposed Rulemaking (NPRM) for the Medicare Shared Savings Program (MSSP), which requests feedback for changes CMS is considering for the Medicare accountable care organization (ACO) programs in 2016 and beyond. The proposal suggests significant potential alterations to the program, many of which we recently reviewed, that would address major issues that ACOs and others have raised: uncertainty and inexperience at transitioning to increasing levels of risk, lack of timely and accurate data, changes in attributed patient populations from year-to-year, and financial benchmarks that fail to account for regional variations and continue to reward high ACO performance over time.