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Expert Analysis

A Look Inside CMS' New Medicare Shared Savings Program

By Michael Lampert, Wesley Dodd, Cara Dermody and Whitney Wadman ( January 14, 2019, 11:58 AM EST) -- On Dec. 21, 2018, the Centers for Medicare & Medicaid Services issued a final rule[1] establishing the "Pathways to Success" program, which overhauls the Medicare shared savings program, or MSSP, for accountable care organizations. The changes primarily involve provisions for new beneficiary incentives, coverage of telehealth services and choice of beneficiary assignment methodology. The principal changes from the proposed rule announced in August, are adjustments to the proposed shared savings cap for a participation option and the proposed definition of low- and high-revenue ACOs....

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