0938-AS67 201604 Unified Agenda of Federal Regulatory and Deregulatory Actions 0938 Centers for Medicare & Medicaid Services CMS 0900 Department of Health and Human Services HHS Medicare Shared Savings Program; Accountable Care Organizations (ACOs)--Revised Benchmark Rebasing Methodology (CMS-1644-F)

Under the Medicare Shared Savings Program, providers of services and suppliers that participate in an ACO continue to receive traditional Medicare fee-for-service (FFS) payments under parts A and B, but the ACO may be eligible to receive a shared savings payment if it meets specified quality and savings requirements. This rule addresses changes to the Shared Savings Program that modify the program's benchmark rebasing methodology to encourage ACOs' continued investment in care coordination and quality improvement, and identifies publicly available data to support modeling and analysis of these changes. In addition, it streamlines the methodology used to adjust an ACO's historical benchmark for changes in its ACO participant composition, offers an alternative participation option to encourage ACOs to enter performance-based risk arrangements earlier in their participation under the program, and establishes policies for reopening of payment determinations to make corrections after financial calculations have been performed and ACO shared savings and shared losses for a performance year have been determined.

]]> Economically Significant Previously Published in The Unified Agenda Long-Term Actions Yes No 42 CFR 425 Pub. L. 111-148 sec. 3022 Statutory Final 02/03/2019 MMA section 902. No NPRM 02/03/2016 81 FR 5823 NPRM Comment Period End 03/28/2016 Final Action 02/00/2019 Undetermined Businesses Organizations None No No No 0938-AS06 Split from Elizabeth November Health Insurance Specialist 0938 Centers for Medicare & Medicaid Services CMS 410 786-8084 elizabeth.november@cms.hhs.gov Center for Medicare, MS: C5-15-24, 7500 Security Boulevard, Baltimore MD 21244