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Accountable care organizations have demonstrated success in improving quality of care for patients, including underserved and vulnerable individuals, while saving $13.3 billion in gross savings and $4.7 billion in net savings to Medicare in the past decade. The Centers for Medicare and Medicaid has set a goal of having all beneficiaries in accountable care models by 2030. Furthering this goal aligns with another strategic aim for CMS–advancing health equity.
The 2024 rule-making cycle provides a critical opportunity to improve the Medicare Shared Savings Program, the nation’s largest value-based care program. CMS needs to make changes in the program to jump start growth and meet the agency’s goals for accountable care. Meeting these goals will also require making the program compelling to current participants so they don’t drop out. Growth in the MSSP has stagnated over the past four years while Medicare Advantage continues to grow.