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AMA and others make MSSP requests ahead of final rule

AMA and others make MSSP requests ahead of final rule

September 2, 2022Susan MorseHealthcare FinanceACO Development & CMS Application

Ahead of the September 6 comment deadline, the American Medical Association and 10 other provider organizations submitted comments to the Centers for Medicare and Medicaid Services on how the 2023 Medicare Physician Fee Schedule Proposed Rule affects accountable care organization models.

The rule, if finalized, would bring several positive changes to the Medicare Shared Savings Program, Medicare’s largest value-based payment model, the organizations said in the September 1 letter to CMS Administrator Chiquita Brooks-LaSure.

This includes giving ACOs more time before advancing to the highest levels of risk, providing fairer, more accurate financial benchmarks, positive changes to quality scoring approaches and providing advanced shared savings payments to smaller ACOs that serve underserved populations, the letter said.

However, the organizations want CMS to expand the types of ACOs that can receive advance investment payments being proposed in MSSP. Advanced payments should be available to all ACOs who are working to achieve health equity, the letter said.

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