tci Medicare Compliance & Reimbursement - 2021 Issue Q3
Medicare Shared Savings Program: ACOs Get More Time on eCQM Reporting Requirement
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Article Overview
This article summarizes CMS proposals in the CY 2022 Medicare Physician Fee Schedule proposed rule that affect Accountable Care Organizations participating in the Medicare Shared Savings Program. It focuses on changes to quality reporting timelines, the continued role of the CMS Web Interface, transition planning for electronic quality reporting, and proposed revisions to repayment mechanism policies for risk-based ACOs. The piece is relevant for ACO leaders, compliance staff, quality reporting teams, and organizations tracking CMS payment model updates.
Why This Topic Matters
The proposals discussed could affect how ACOs report quality data, plan their transition to new performance pathways, and structure repayment mechanisms under risk-based participation models. Organizations involved in MSSP operations or policy monitoring need to understand the timing and scope of these CMS changes.
Article Sections
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Backtrack
Background on prior CMS rulemaking and stakeholder concerns about changes affecting ACO quality policy during the public health emergency. The section also references the broader Medicare payment and performance model context.
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Now
Current CMS proposals on extending reporting options, transitioning quality measure reporting, and adjusting timing related to performance standards for ACOs. The section also notes stakeholder reactions and implementation timing.
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Bonus
Additional reporting choices available to ACOs for the current year and the related evaluation components mentioned in the proposed rule. The section summarizes alternative reporting pathways discussed in the article.
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Prep for a Possible Repayment Rework in 2022
Proposed changes to repayment mechanism policies for risk-based ACOs, including potential adjustments to repayment methodology and participation requirements. The section also covers CMS solicitation of public feedback.
What You Will Learn
- How CMS is proposing to change quality reporting timelines for ACOs participating in the MSSP
- What transition issues are being addressed for ACO performance measurement under the proposed rule
- Which broad categories of repayment mechanism policy CMS is revisiting for risk-based ACOs
- How stakeholder organizations are responding to the proposed MSSP changes
- Where CMS is requesting public comments on the proposals
Who Should Read This
- Accountable Care Organization leaders
- Medicare compliance professionals
- Quality reporting staff
- Healthcare reimbursement analysts
- Physician group administrators
- Hospital and health system policy teams
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