decisionhealth Newsletters, Part B News - 2023 Issue 11 (November)
CMS delays Shared Savings CEHRT and quality measure switch, but not for long
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Article Overview
This article explains recent CMS updates to the Medicare Shared Savings Program for accountable care organizations, with emphasis on delayed transitions in quality reporting and certified EHR technology requirements. It also covers broader 2024 program revisions involving risk adjustment, equity-related scoring elements, beneficiary assignment, and new participation options. The piece is most relevant to ACO leaders, compliance staff, and healthcare reimbursement professionals tracking Medicare program changes.
Why This Topic Matters
The changes affect how MSSP ACOs will report quality, maintain compliance, and be evaluated under Medicare rules. They may influence operational planning, data integration needs, scoring outcomes, and future participation strategy.
Article Sections
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Medicare Shared Savings Program changes
Overview of CMS updates affecting ACO participation and the transition to new reporting and compliance standards.
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Formula changes
Discussion of updates to risk-related calculations and scoring methodologies within the shared savings program.
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Other changes
Additional program revisions involving equity adjustment factors, beneficiary assignment, and a new participation track.
What You Will Learn
- How CMS is changing reporting expectations for ACO participants
- What broader MSSP revisions are being made for 2024
- Which program areas are affected by risk adjustment and scoring updates
- How equity-related and assignment-related policies are being modified
- What new participation options are being introduced for shared savings organizations
Who Should Read This
- Accountable care organization leaders
- Medicare compliance professionals
- Healthcare reimbursement analysts
- Quality reporting staff
- Practice managers
- Health information technology teams
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