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In the News

Find the latest press releases about the Shared Savings Program and related initiatives.

2018

Nov 23 2018

Physician Fee Schedule Final Rule

The Physician Fee Schedule (PFS) final rule published in November 2018 addresses a subset of changes to the Medicare Shared Savings Program for Accountable Care Organizations (ACOs) proposed in the August 2018 proposed rule “Medicare Program; Medicare Shared Savings Program; Accountable Care Organizations Pathways to Success” and addresses various other revisions designed to update program policies under the Shared Savings Program. In order to ensure continuity of participation, finalize time-sensitive program policy changes for currently participating ACOs, and streamline the ACO core quality measure set to reduce burden and encourage better outcomes, CMS is finalizing the following policies:

  • A voluntary 6-month extension for existing ACOs whose participation agreements expire on December 31, 2018, and the methodology for determining financial and quality performance for this 6-month performance year from January 1, 2019, through June 30, 2019.
  • Reducing the Shared Savings Program core quality measure set by eight measures; and promoting interoperability among ACO providers and suppliers by adding a new Certified EHR Technology (CEHRT) threshold criterion to determine ACOs’ eligibility for program participation and retiring the current Shared Savings Program quality measure on the percentage of eligible clinicians using CEHRT.
  • Allowing beneficiaries who voluntarily align to a Nurse Practitioner, Physician Assistant, Certified Nurse Specialist, or a physician with a specialty not used in assignment to be prospectively assigned to an ACO if the clinician they align with is participating in an ACO, as provided for in the Bipartisan Budget Act of 2018.
  • Providing relief for ACOs and their clinicians impacted by extreme and uncontrollable circumstances in 2018 and subsequent years.
  • Revising the definition of primary care services used in beneficiary assignment.

For more information, refer to Details for Calendar Year (CY) 2019 Physician Fee Schedule Final Rule.

Aug 9 2018

Shared Savings Program Proposed Rule

CMS issued a proposed rule that would provide a new direction for the Shared Savings Program by establishing pathways to success through redesigning the participation options available under the program to encourage Accountable Care Organizations (ACOs) to transition to two-sided models (in which they may share in savings and are accountable for repaying shared losses). These proposed policies are designed to increase savings for the Trust Funds and mitigate losses, reduce gaming opportunities, and promote regulatory flexibility and free-market principles. The proposed rule also would provide new tools to support coordination of care across settings and strengthen beneficiary engagement; ensure rigorous benchmarking; promote interoperable electronic health record technology among ACO providers/suppliers; and improve information sharing on opioid use to combat opioid addiction.

For more information, refer to the Federal Register August 2018 Notice of Proposed Rule Making (NPRM).

2017

Jan 18 2017

New ACOs Join the Shared Savings Program

CMS announced that 99 new Accountable Care Organizations (ACOs) and 79 renewing ACOs have been accepted to participate in the seventh cycle of the Shared Savings Program. As of January 1, 2017, there are 480 ACOs participating in the Shared Savings Program.

To view a complete list of participating ACOs, refer to PY 2017 Data.

For more information on Shared Savings Program data, visit the Program Data webpage.

2016

Dec 20 2016

New Innovation Center Model Beginning PY 2018

CMS announced a new CMS Innovation Center model, the Medicare ACO Track 1+ Model (Track 1+ Model), beginning in 2018, that will test a payment design that incorporates more limited downside risk than is currently present in Tracks 2 or 3 of the Shared Savings Program to encourage progression to performance-based risk by Track 1 ACOs.

Aug 25 2016

PY 2015 Financial and Quality Performance Results

CMS released financial and quality performance results for 392 ACOs with 2012, 2013, 2014, and 2015 agreement start dates.

To view the complete performance results, refer to PY 2015 Performance Results.

For more information on Shared Savings Program data, visit the Program Data webpage.

Jan 11 2016

New ACOs Join the Shared Savings Program

CMS announced that 100 new ACOs and 147 renewing ACOs have been accepted to participate in the sixth cycle of the Shared Savings Program. As of January 1, 2016, there are 434 ACOs participating in the Shared Savings Program.

To view a complete list of participating ACOs, refer to PY 2016 Data.

For more information on Shared Savings Program data, visit the Program Data webpage.

2015

Aug 25 2015

PY 2014 Financial and Quality Performance Results

CMS released financial and quality performance results for 333 ACOs with 2012, 2013, and 2014 agreement start dates.

To view the results, refer to PY 2014 Performance Results.

2014

Dec 22 2014

New ACOs Join the Shared Savings Program

CMS announced that 89 new ACOs have been accepted to participate in the fifth cycle of the Shared Savings Program, which begins on January 1, 2015.

To view a complete list of participating ACOs, visit PY 2015 Data.

Nov 7 2014

PY1 FINAL Financial and Quality Performance Results Released

CMS released the final financial and quality performance results for ACOs with 2012 and 2013 agreement start dates.

To view the results, refer to PY1 Performance Results.

Sept 22 2014

PY1 Quality Performance Results

CMS announced the PY1 quality performance results for ACOs with 2012 and 2013 agreement start dates. For PY1, CMS defined the quality performance standard at the level of complete and accurate reporting for all quality measures. In PY1, 209 ACOs met the quality performance standard and were eligible to share in savings, if earned. Quality performance for PY1 reconciliation for ACOs with 2012 start dates is based on complete and accurate reporting of all required quality measures for Calendar Year 2012 (CY 2012) and CY 2013. Quality performance for PY1 reconciliation for ACOs with 2013 start dates is based on complete and accurate reporting of all required quality measures for CY 2013. The quality performance results provided in the PY1 announcement reflect CY 2013 performance rates for 220 ACOs. The CY 2013 mean quality performance rate for each measure, across all ACOs, is also provided.

Sept 16 2014

PY1 FINAL Financial and Quality Performance Results Announced

CMS announced PY1 FINAL financial and quality performance results for ACOs with 2012 and 2013 agreement start dates. 53 ACOs with 2012 and 2013 start dates generated shared savings during their first performance year; PY1 is a 21- or 18-month period for ACOs with 2012 start dates, and a 12-month period for ACOs with 2013 start dates. ACOs that generated savings earned a performance payment if they met the quality standard. One Track 2 ACO with shared losses must repay CMS.

Jan 30 2014

PY1 INTERIM Financial Reconciliation Results

CMS announced PY1 INTERIM financial reconciliation results for ACOs that started in April and July 2012. 31 ACOs that started in the Shared Savings Program in April or July 2012 generated shared savings or losses during their first 12 months of participation. We will complete the FINAL PY1 reconciliation later this year on all ACOs that started in 2012 and 2013. Consequently, an ACO's final performance results may differ from their interim results. ACOs that earned a performance payment were eligible for interim payment because they met the quality standard, elected the interim payment option in their application, and posted the required repayment mechanism. A Track 2 ACO with shared losses must repay CMS based on interim PY1 reconciliation if it elected the interim payment option in its application and posted the required repayment mechanism.

2013

Dec 23 2013

New ACOs Join the Shared Savings Program

CMS announced that 123 new ACOs have been accepted to participate in the fourth cycle of the Shared Savings Program, which begins on January 1, 2014.

To view a complete list of participating ACOs, refer to PY 2014 Data.

Jan 10 2013

New ACOs Join the Shared Savings Program

CMS announced that 106 new ACOs have been accepted to participate in the third cycle of the Shared Savings Program, which began on January 1, 2013.

To view a complete list of participating ACOs, refer to PY 2013 Data.

2012

Jul 9 2012

New ACOs Join the Shared Savings Program

CMS announced that 88 new ACOs have been accepted to participate in the second cycle of the Shared Savings Program, which began on July 1, 2012.

Apr 10 2012

New ACOs Join the Shared Savings Program

CMS announced that new ACOs have been accepted to participate in the first cycle of the Shared Savings Program, which began on April 1, 2012.

2011

Nov 10 2011

The Shared Savings Program Final Rule

 

 

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