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Upside-only MSSP ACOs, unwilling to assume downside financial risk, confront CMS proposed changes for 2019

By Akshita Singh | October 19, 2018 at 5:09 PM

The Medicare Shared Savings Program (MSSP) launched in 2012 and has since grown from 27 ACOs to now 561 covering around 10.5 million beneficiaries in 2018. In August this year, CMS proposed an overhaul to MSSP in order to promote more downside financial risk assumption among ACOs - essentially proposing to give ACOs significantly more financial skin in the game. Perhaps unsurprisingly, ACOs are pushing back.

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