PROVIDER ALERT: NOTICES OF INTENT TO APPLY TO PARTICIPATE IN MEDICARE'S SHARED SAVINGS PROGRAM DUE JANUARY 18, 2019

 

            Accountable Care Organizations (ACOs) interested in participating in Medicare’s Shared Savings Program (MSSP) for the period beginning July 1, 2019 must submit Notices of Intent to Apply for the program on or before January 18, 2019.  Submitting a Notice of Intent to Apply is required in order to apply for the program.  However, ACOs submitting Notices of Intent to Apply are not bound to submit an application.  Applications to participate in the program are due February 19, 2019, with agreements expected to be signed in June, 2019.

            The intent of the MSSP is to encourage coordination among providers to improve quality of care and reduce costs for Medicare fee-for-service beneficiaries. Under the MSSP, ACOs that successfully meet quality and savings requirements share a percentage of the savings with Medicare.  For the program beginning July 1, 2019, ACOs can opt to participate in either the Basic Track at various levels or in the Enhanced Track.  Depending on the track selected, an ACO may also share losses with Medicare (which requires a re-payment to Medicare in the event of loss) in exchange for the opportunity to share a greater percentage of the savings with Medicare when savings are achieved.  

            Detailed information about the MSSP application process and the different tracks, including a webinars, a toolkit, and the required forms, is available on CMS’ MSSP website at www.cms.gov/Medicare/Medicare-Fee-For-Service-Payment/sharedsavingsprogram/index.html.

            For Whatley Kallas, LLP’s earlier article on a study showing that ACOs saved Medicare $2.6 billion for performance years 2013-2016, click here.