decisionhealth Newsletters, Part B News - 2015 Issue 6 (June)
ACO rule finalizes high-end track 3 but offers little for track 1, 2 models
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Article Overview
This article reviews a June 4 final rule for the Medicare Shared Savings Program and explains how it affects accountable care organization participation across different tracks. It highlights new and revised options for higher-risk ACO models, contrasts them with more limited changes for lower-risk tracks, and notes concerns voiced by industry stakeholders. The piece is relevant to providers, ACO administrators, and compliance or reimbursement professionals following CMS policy changes.
Why This Topic Matters
The rule changes how ACOs may structure risk, shared savings, and participant benefits under the Medicare Shared Savings Program. Understanding these updates helps organizations evaluate whether to remain in a current track or move to a more advanced model.
Article Sections
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Overview of the final rule
Introduces the June 2015 final rule and the Medicare Shared Savings Program context. Summarizes the article’s focus on how the rule affects ACO participants across tracks.
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Track 3 and higher-risk model changes
Describes the new higher-risk ACO model and the general types of participant advantages associated with it. Covers the article’s comparison of this model with existing program tracks.
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How the rule amends tracks 1, 2
Reviews the general updates affecting lower-risk ACO tracks and the broader program structure. Notes stakeholder reactions and concerns about how the rule may influence ACO participation.
What You Will Learn
- How the final rule changes the Medicare Shared Savings Program for ACOs
- What kinds of track-level adjustments are discussed in the article
- Which broad participant options and program features are affected
- How industry groups and ACO leaders responded to the rule
Who Should Read This
- ACO administrators
- Physician group leaders
- Hospital and health system reimbursement teams
- Health care compliance professionals
- Medicare policy analysts
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