tci Medicare Compliance & Reimbursement - 2018 Issue 17

Reimbursement: MSSP Proposals Aim to Raise the Bar on ACOs

Hint: Expect reporting to decrease while financial risks increase. The Medicare Shared Savings Program (MSSP) promotes the principles of quality care, clinical coordination, and cost sharing utilized through Accountable Care Organizations (ACOs). New policy proposals suggest some groups need to carry their fair share of the weight instead of only reaping the rewards of participation. And the suggested realignments and requirements could really hurt struggling ACOs bottom lines. Definition: The MSSP encourages federal healthcare savings and enhanced provider reimbursement through cooperation to provide optimal patient care. Falling under the jurisdiction of the MSSP, ACOs are defined as the voluntary...

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