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Medicare Shared Savings Program (MSSP)

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Medicare Shared Savings Program (MSSP)
Medicare Shared Savings Program (MSSP)

MSSP Redesign Means ‘Pathways to Success’ for ACOs

By

Scott Hodgin

|

January 15, 2019

The Affordable Care Act of 2010 introduced a new era in healthcare payment reform, focused on shifting the environment of health care from fee-for-service (FFS) to value-based care. The Centers for Medicaid and Medicare Services (CMS) introduced the Accountable Care Organization (ACO) as an alternative payment model (APM) designed to encourage voluntary networks of...

Medicare Shared Savings Program (MSSP)

The Medicare Shared Savings Program: Risk vs Reward

By

Scott Hodgin

|

January 15, 2019

The Medicare Shared Savings Program (MSSP) was created by the Centers for Medicare and Medicaid Services (CMS) as part of the Affordable Care Act (ACA) of 2010. Launched in 2013, the MSSP is CMS’s largest Accountable Care Organization (ACO) program, covering 10.5 million assigned Medicare beneficiaries in 2018. The MSSP is the key component in Medicare payment reform, utilizing ACO models to lead the transformation from fee-for-service (FFS) to value-based health care. It’s no secret that...

Medicare Shared Savings Program (MSSP)

ACO'S & the Medicare Shared Savings Program (MSSP): How They Strategize Together Towards Value

By

Scott Hodgin

|

January 15, 2019

The Affordable Care Act (ACA) of 2010 introduced a new era in healthcare payment reform. The Centers for Medicare and Medicaid Services (CMS) was tasked to create a number of Alternative Payment Models (APMs) designed to accommodate the multiplicity of healthcare disorders and patient population scenarios, while shifting the environment of health care from fee-for-service (FFS) to value-based care. CMS introduced the Accountable Care Organization (ACO) as an APM designed to encourage voluntary networks of physician...

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Value Based

Value-based Care vs Fee-for-Service

The healthcare industry is experiencing a transformation involving reimbursement payment models. The conventional fee-for-service (FFS) reimbursement model is slowly being replaced by the concept of value-based care, a reimbursement methodology that challenges the “volume-based care” associated with fee-for-service...

accountable-care-organization

ACOs vs HMOs: Here’s How They’re Different

Health systems and managed health care are inventions of the early 20th century, but it wasn’t until the early 1970s that Health Maintenance Organizations (HMOs) were defined as such and considered solutions for dangerously high healthcare costs. Although prevalent throughout the 1980s and 90s, HMOs for various reasons...

Value Based

Quality Over Quantity: What Value-based Care Means for Providers

The age of value-based healthcare is here, and the Centers for Medicare and Medicaid Services (CMS) has taken the lead in healthcare delivery and reimbursement reform. The strategy is driven by a three-part aim to offer better quality health, to improve patient healthcare experiences, and to deliver services at lower costs. CMS has designed an array of care programs and payment models that are meant to shift the focus of healthcare from volume-based care to value-based care, to change the mindset of providers in today’s healthcare system to focus on quality over quantity. However, this change is not a “light switch” type of adjustment, where providers can...