CMS seeks to trim reward-only, pushing for quicker risk uptake

Why This Topic Matters

The proposed changes affect how quickly new ACOs would move into risk, how participation thresholds and reporting rules may be applied, and which quality measures or policy elements remain in place. Organizations participating in MSSP or evaluating entry into ACO models would need to understand the direction of these CMS proposals.

Article Sections

1. Medicare Shared Savings Program

   Overview of the MSSP policy changes included in the proposed rule and the overall direction of CMS’s approach to ACO participation and risk.

2. Beneficiary assignment and quality reporting changes

   Discussion of proposed updates affecting beneficiary assignment, clinical quality measure reporting, and related administrative simplification efforts.

3. Quality measure and policy revisions

   Summary of proposed changes to selected MSSP quality-related policies, including adjustments tied to equity-related and administrative reporting elements.