tci Medicare Compliance & Reimbursement - 2016 Issue 13

MSSP: ACOs: Get Ready for CMS to Change the Way It Rebases Your Benchmark

But don’t expect your benchmarking methodology to change until the second year. Under the new Medicare Shared Savings Program (MSSP) final rule, the Centers for Medicare &Medicaid Services (CMS) will rebase, or reset, your Accountable Care Organization’s (ACO’s) benchmark under a newly revised methodology. In the first agreement period’s benchmarking methodology, CMS will continue to establish an ACO’s historical benchmark based on the Parts A and B fee-for-service (FFS) expenditures for beneficiaries who would’ve been assigned to the ACO in each of the three years prior to the start of the agreement...

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