The Centers for Medicare and Medicaid Services (CMS) and accountable care organizations (ACOs) are in the midst of a back and forth over the federal agency’s effort to push more ACOs into two-sided risk, Healthcare Informatics reports.
According to Healthcare Informatics Managing Editor Rajiv Leventhal, CMS is looking for increased involvement in two-sided risk to lift the weight off Medicare when ACOs spend past their financial benchmarks.
“One option, per CMS’ proposal, would be the BASIC track, which would allow eligible ACOs to begin under a one-sided model and incrementally phase-in higher levels of risk,” Leventhal ,said. “The second option would be the ENHANCED track, which is based on the program’s existing Track 3, providing additional tools and flexibility for ACOs that take on the highest level of risk and potential rewards.”
The National Association of ACOs president and CEO, Clifton Gaus, says the reduction in potential shared savings would be detrimental to the growth of new organizations.
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