tci Medicare Compliance & Reimbursement - 2022 Issue Q4
Medicare Shared Savings Program: CMS Pushes Forward With Value-Based Care Revamp
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Article Overview
This article reviews CMS’s CY 2023 changes to the Medicare Shared Savings Program (MSSP) as finalized in the Medicare Physician Fee Schedule rule. It focuses on broad policy themes such as reducing administrative burden, revising benchmarking and performance methodologies, strengthening health equity efforts, and supporting participation by accountable care organizations. The article is relevant to compliance teams, ACO leadership, and reimbursement professionals tracking Medicare value-based care policy.
Why This Topic Matters
The MSSP is a major Medicare value-based payment model, and CMS’s revisions can affect how accountable care organizations participate, report performance, and align with equity-focused care goals. Understanding the scope of these changes helps organizations assess administrative impact and policy direction without relying on the full rule text.
Article Sections
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CMS and the CY 2023 Medicare Physician Fee Schedule final rule
Introduces the regulatory context for the MSSP updates and situates them within CMS’s broader Medicare payment rulemaking for calendar year 2023.
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Why CMS is revising the MSSP
Explains the policy drivers behind the changes, including participation trends, access concerns, and CMS’s value-based care and equity goals.
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Five major MSSP changes to know
Summarizes the article’s main policy categories covering administrative simplification, benchmarking, quality reporting, equity-related adjustments, and transition pathways for participating organizations.
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Resource and follow-up
Points readers to the referenced Federal Register rule and notes that further analysis will follow.
What You Will Learn
- How CMS framed the CY 2023 MSSP updates within Medicare payment policy
- The main categories of MSSP policy changes discussed in the article
- How the article characterizes CMS’s equity and participation goals for ACOs
- Which types of administrative and performance-related areas were updated
Who Should Read This
- Medicare compliance professionals
- Reimbursement specialists
- ACO administrators and leadership
- Health policy analysts
- Revenue cycle and value-based care teams
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