Fact Based List:
Becker Hospital Review: 11 things to know about the MSSP ACO final rule
Submitted by Clive Riddle on Fri, 06/05/2015 - 16:31
- The rule creates a Track 3
- Once a beneficiary is prospectively assigned to a Track 3 ACO, the beneficiary will not be eligible for assignment to a different ACO,
- CMS finalized a rule for Track 2 ACOs that leaves them with the choice of symmetrical MSR/MLR
- The rule finalizes policies related to ACO benchmarks
- The final rule eliminates the requirement that ACOs starting the MSSP under Track 1 must transition to Track 2
- Requires ACOs to submit documents demonstrating that its participants, suppliers and other individuals or entities performing functions related to the ACO comply with the rules of the MSSP.
- Previously terminated Track 1 ACOs can reapply under the one-sided or two-sided model.
- ACOs entering a two-sided model are required to establish a repayment mechanism at the beginning of a three-year agreement period
- ACOs must maintain a "dedicated webpage"
- CMS is exploring operational processes to develop a methodology that will let ACOs "split" ACO participants or providers and suppliers into two different risk tracks.
Source: 11 things to know about the MSSP ACO final rule, Becker Hospital Review, June 5, 2015
Source URL: http://www.beckershospitalreview.com/accountable-care-organi...
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