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The Journey Ahead on MSSP Pathways to Success: Milliman Final Rule Analysis and Implications | ||
The December 31, 2018 final
rule for the 2019 Medicare Shared Savings Program (MSSP) implements many
of the "Pathways to Success" provisions detailed in the proposed rule
published on August 8, 2018, with some modifications that may have a
significant impact on a number of accountable care organizations (ACOs).
The final rule creates a structured timetable for inexperienced ACOs to
transition to downside risk, gradually increasing the maximum risk
exposure as those ACOs gain more experience with the MSSP. The new MSSP "Pathways to Success," regulation accelerates the path for accountable care organizations (ACOs) to participate in shared risk arrangements while simultaneously softening key MSSP provisions, allowing lower revenue ACOs to participate with reduced total financial risk. In addition, CMS has put forth numerous methodological and operational changes. With the MSSP final rule, CMS is offering greater shared savings potential to ACOs participating in the BASIC track and making the BASIC track available to a broader set of ACOs. The effect of these rule changes on specific ACOs will vary significantly depending on an ACO’s size, region, cost and quality performance, and structure. It is critical that ACOs fully consider all of the implications of these new rules in order to identify both the risks and the opportunities specific to their organizations. Please join us on Wednesday, March 13, 2019, at 1 PM Eastern as Milliman's Colleen Norris and Jason McEwen present Milliman's analysis of the proposed Pathways to Success program. Click here for detailed information and to register or call 209.577.4888. |
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In addition to the main faculty presentation, this event includes a fun whiteboard drawing format opening video, a brief moderated faculty interview, and concluding live audience questions and answers. |
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