November 2, 2022
Transition to Value
  • CMS released its 2023 Medicare Physician Fee Schedule Final Rule, finalizing steps to overhaul the Medicare Shared Savings Program (MSSP) to boost enrollment and address health equity gaps. CMS will offer advance shared savings payments to low-revenue ACOs and allow longer periods of time for ACOs to become accustomed to accountable care before being liable for downside risk. Additionally, an organization new to the MSSP that is not renewing or reentering as an ACO and qualifies as low revenue can get a one-time payment of $250,000 and quarterly payments for the first two years of a five-year period. The agency hopes the changes will entire more physicians into value-based care, especially in rural and underserved areas. (Fact sheet here)