In the News

In the News

Find the latest news about the Medicare Shared Savings Program (Shared Savings Program) and related initiatives.

2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011 

2024

November 1, 2024

Physician Fee Schedule (PFS) Final Rule

On November 1, 2024, CMS issued a final rule entitled Medicare and Medicaid Programs; CY 2025 Payment Policies under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Prescription Drug Inflation Rebate Program; and Medicare Overpayments, which includes finalized changes to the Shared Savings Program to further advance Medicare’s value-based care strategy of growth, alignment, and equity.

To learn more, refer to: 

October 29, 2024

Performance Year (PY) 2023 Financial and Quality Results

CMS released the PY 2023 financial and quality results for the performance period beginning January 1, 2023, and ending December 31, 2023:

To view the complete performance results, refer to the Performance Year Financial and Quality Results Public Use File (PUF) on Data.CMS.gov.

September 24, 2024

Significant, Anomalous, and Highly Suspect (SAHS) Billing Activity Final Rule

On September 24, 2024, CMS issued a final rule entitled Medicare Program: Mitigating the Impact of Significant, Anomalous, and Highly Suspect Billing Activity on Medicare Shared Savings Program Financial Calculations in Calendar Year 2023, which mitigates the impact of SAHS billing activity for two codes for intermittent urinary catheters on Medicare Durable Medical Equipment, Prosthetics, Orthotics & Supplies claims, on PY 2023 financial performance of Shared Savings Program Accountable Care Organizations (ACOs); benchmarks for ACOs starting agreement periods in 2024, 2025, and 2026; and factors used in the application cycle for ACOs applying to enter a new agreement period beginning on January 1, 2025, and continuing their participation in the program for PY 2025. 

To learn more, refer to:

July 10, 2024

Physician Fee Schedule Proposed Rule

On July, 10, 2024, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule entitled Medicare and Medicaid Programs; CY 2025 Payment Policies under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Prescription Drug Inflation Rebate Program; and Medicare Overpayments, which includes proposed changes to the Shared Savings Program to further advance Medicare’s value-based care strategy of growth, alignment, and equity.

To learn more, refer to:

June 28, 2024

Significant, Anomalous, and Highly Suspect (SAHS) Billing Activity Proposed Rule

On June 28, 2024, CMS issued a proposed rule entitled Medicare Program: Mitigating the Impact of Significant, Anomalous, and Highly Suspect Billing Activity on Medicare Shared Savings Program Financial Calculations in Calendar Year 2023, which addresses policies for assessing performance year (PY) 2023 financial performance of Medicare Shared Savings Program Accountable Care Organizations (ACOs); establishing benchmarks for ACOs starting agreement periods in 2024, 2025, and 2026; and calculating factors used in the application cycle for ACOs applying to enter a new agreement period beginning on January 1, 2025, and the change request cycle for ACOs continuing their participation in the program for PY 2025, as a result of SAHS billing activity for selected intermittent urinary catheters on Medicare Durable Medical Equipment, Prosthetics, Orthotics & Supplies claims.

To learn more, refer to:

June 24, 2024

HHS Information Blocking Disincentives Final Rule 

On June 24, 2024, the U.S. Department of Health and Human Services (HHS) released a final rule that establishes disincentives for health care providers found by the HHS Office of Inspector General (OIG) to have committed information blocking—a practice of interfering with the access, exchange, or use of electronic health information. The final rule implements the HHS secretary’s authority under Section 4004 of the 21st Century Cures Act (Cures Act). The final rule complements OIG’s rule that established information blocking penalties for the other actors identified by Congress (health information technology (IT) developers of certified health IT or other entities offering certified health IT, health information exchanges, and health information networks).

  • In this final rule, HHS establishes that under the Shared Savings Program, a health care provider that is an ACO, ACO participant, or ACO provider or supplier who has committed information blocking may be ineligible to participate in the program for a period of at least one year. CMS will consider relevant facts and circumstances (e.g., time since the conduct, diligence in correcting the conduct, other disincentives applied) prior to applying a disincentive under the Shared Savings Program.

To learn more, refer to:

January 29, 2024

New ACOs Join the Shared Savings Program 

On January 29, 2024, CMS released the Accountable Care Organization (ACO) participation data for the 2024 performance year.

To learn more, refer to: 

You can find a full list of Shared Savings Program ACOs, including their ACO participants and Skilled Nursing Facility (SNF) affiliates on the Medicare Shared Savings Program landing page of Data.CMS.gov.

2023

November 2, 2023

Physician Fee Schedule Final Rule

On November 2, 2023, the CMS issued a final rule entitled Medicare and Medicaid Programs; CY 2024 Payment Policies under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; etc., which includes changes to the Shared Savings Program to advance CMS’ overall value-based care strategy of growth, alignment, and equity.

To learn more, refer to: 

August 24, 2023

PY 2022 Financial and Quality Results

CMS released the PY 2022 financial and quality results for the performance period beginning January 1, 2022, and ending December 31, 2022:

To view the complete performance results, refer to the Performance Year Financial and Quality Results Public Use File (PUF) on Data.CMS.gov.

July 13, 2023

Physician Fee Schedule Proposed Rule

On July 13, 2023, the CMS issued a proposed rule entitled Medicare and Medicaid Programs; CY 2024 Payment Policies under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Continued Implementation of Requirements for Manufacturers of Certain Single-dose Container or Single-use Package Drugs to Provide Refunds with Respect to Discarded Amounts; Medicare Advantage; Medicare and Medicaid Provider and Supplier Enrollment Policies; and Basic Health Program, which includes proposed changes to the Shared Savings Program to advance CMS’ overall value-based care strategy of growth, alignment, and equity.

To learn more, refer to:

January 17, 2023

New ACOs Join the Shared Savings Program 

On January 17, 2023, CMS released the ACO participation data for the 2023 performance year.

You can find a full list of Shared Savings Program ACOs, including their ACO participants and Skilled Nursing Facility (SNF) affiliates on the Medicare Shared Savings Program landing page of Data.CMS.gov.

2022

November 1, 2022

Physician Fee Schedule Final Rule

On November 1, 2022, CMS issued the PFS final rule entitled Medicare and Medicaid Programs; CY 2023 Payment Policies under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements, Etc., which includes changes to the Shared Savings Program to advance CMS’ overall value-based care strategy of growth, alignment, and equity. The Calendar Year (CY) 2023 PFS Final Rule makes regulatory changes to Shared Savings Program policies, including to: provide advance shared savings payments in the form of advance investment payments (AIPs) to certain new, low revenue ACOs that can be used to support their participation in the Shared Savings Program; provide greater flexibility in the progression to performance-based risk; establish a health equity adjustment to an ACO’s Merit-based Incentive Payment System (MIPS) quality performance category score used to determine shared savings and losses to recognize high quality performance by ACOs serving a higher proportion of underserved populations; incorporate a sliding scale reflecting an ACO’s quality performance for use in determining shared savings for ACOs, and revise the approach for determining shared losses for ENHANCED track ACOs; modify the benchmarking methodology to strengthen financial incentives for long term participation by reducing the impact of ACOs’ performance and market penetration on their benchmarks, and to support the business case for ACOs serving high risk and high dually eligible populations to participate, as well as mitigate bias in regional expenditure calculations for ACOs electing prospective assignment; expand opportunities for certain low revenue ACOs participating in the BASIC track to share in savings; make changes to policies within other programmatic areas, including the program’s beneficiary assignment methodology, requirements related to marketing material review and beneficiary notifications, the SNF 3-day rule waiver application, and data sharing requirements.

To learn more, refer to: 

August 30, 2022

PY 2021 Financial and Quality Results

CMS released the Performance Year (PY) 2021 financial and quality results for the performance period beginning January 1, 2021, and ending December 31, 2021:

To view the complete performance results, refer to the Performance Year Financial and Quality Results PUF on Data.CMS.gov.

July 7, 2022

On July 7, 2022, CMS issued a proposed rule entitled Medicare and Medicaid Programs: Calendar Year 2023 Payment Policies under the Physician Fee Schedule and Other Changes to Part B Payment Policies, Medicare Shared Savings Program Requirements, etc., which includes proposed changes to the Shared Savings Program to advance CMS’ overall value-based care strategy of growth, alignment, and equity.

To learn more, refer to:

January 26, 2022

New ACOs Join the Shared Savings Program

On January 26, 2022, the CMS released the ACO participation data for the 2022 performance year.

You can find a full list of Shared Savings Program ACOs, including their ACO participants and Skilled Nursing Facility (SNF) affiliates on the Medicare Shared Savings Program landing page of Data.CMS.gov.

2021

November 2, 2021

On November 2, 2021, CMS issued a final rule entitled CY 2022 Payment Policies under the Physician Fee Schedule and Other Changes to Part B Payment Policies; Medicare Shared Savings Program Requirements; Provider Enrollment Regulation Updates; and Provider and Supplier Prepayment and Post-payment Medical Review Requirements (herein CY 2022 PFS Final Rule). The CY 2022 PFS Final Rule included updates on policy changes for Medicare payments under the PFS and other Medicare Part B issues. Final policies to amend the Shared Savings Program are discussed, in section III.J. of the CY 2022 PFS Final Rule, and include the following:

  • A longer transition period for ACOs reporting electronic clinical quality measures/Merit-based Incentive Payment System clinical quality measures (eCQMs/MIPS CQMs) under the Alternative Payment Model (APM) Performance Pathway (APP), by extending the availability of the CMS Web Interface collection type for three additional years, through performance year (PY) 2024.
  • Delay of the increase in the quality performance standard ACOs must meet to be eligible to share in savings until PY 2024, by maintaining the 30th percentile of the MIPS quality performance category score for PY 2023, and additional revisions to the quality performance standard to encourage ACOs to report all-payer measures.
  • Updates to the definition of primary care services that are used for purposes of beneficiary assignment.
  • Revisions to the methodology for calculating repayment mechanism amounts for risk-based ACOs to reduce the percentage used in the existing amount by 50 percent. CMS finalized modifications to the threshold for determining whether an ACO is required to increase its repayment mechanism amount during its agreement period. CMS also specified how we identify the number assigned beneficiaries used in the repayment mechanism amount calculations.
  • Allowance of a one-time opportunity for certain ACOs that established a repayment mechanism to support their participation in a two-sided model beginning on July 1, 2019; January 1, 2020; or January 1, 2021; to elect to decrease the amount of their existing repayment mechanisms.
  • Reducing burden in the Shared Savings Program application process by modifying the prior participation disclosure requirement and reducing the frequency and circumstances under which ACOs submit sample and executed ACO participant agreements to CMS.
  • Modifications to the beneficiary notification requirement as it applies to ACOs under prospective assignment.

To learn more, refer to: 

August 25, 2021

PY 2020 Financial and Quality Results

CMS released the PY 2020 financial and quality results for the performance period beginning January 1, 2020, and ending December 31, 2020:

To view the complete performance results, refer to the Performance Year Financial and Quality Results PUF on Data.CMS.gov. 

August 2, 2021

On August 2, 2021, CMS issued the final rule for fiscal year (FY) 2022 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH) Prospective Payment System (PPS) that includes policies to allow eligible ACOs participating in the BASIC track’s glide path the option to elect to forgo automatic advancement along the glide path’s increasing levels of risk and potential reward for PY 2022.

To learn more, refer to:

July 13, 2021

On July 13, 2021, CMS issued a proposed rule entitled Medicare Program: CY 2022 Payment Policies under the Physician Fee Schedule and Other Changes to Part B Payment Policies; Medicare Shared Savings Program Requirements; Provider Enrollment Regulation Updates; Provider and Supplier Prepayment and Post-payment Medical Review Requirements (herein CY 2022 PFS). 

The CY 2022 PFS proposed rule includes proposals for the Medicare Shared Savings Program (Shared Savings Program) and the QPP. 

Within the CY 2022 PFS proposed rule, proposals to amend Shared Savings Program policies are discussed, primarily, in section III.J, and include the following:

  • A longer transition for ACOs reporting eCQMs/MIPS CQMs under the APP, by extending the availability of the CMS Web Interface collection type for two additional years, through PY 2023.
  • An additional one-year freeze before the phase-in of the increase in the quality standard ACOs must meet to share in savings and an additional revision in the quality standard to encourage ACOs to report all-payer eCQMs/MIPS CQMs.
  • Revisions to the definition of primary care services that are used for purposes of beneficiary assignment. CMS is also seeking comment on whether stakeholders believe other codes should be included in this definition to inform future rulemaking.
  • Revisions to the methodology for calculating repayment mechanism amounts for risk-based ACOs to reduce the percentage used in the existing amount by 50 percent. CMS is also proposing to modify the threshold for determining whether an ACO is required to increase its repayment mechanism amount during its agreement period, and allowing a one-time opportunity for certain ACOs that established a repayment mechanism to support their participation in a two-sided model beginning on July 1, 2019; January 1, 2020; or January 1, 2021; to elect to decrease the amount of their existing repayment mechanisms.
  • Reducing burden and streamlining the Shared Savings Program application process by modifying the prior participation disclosure requirement, so that the disclosure is required only at the request of CMS during the application process, and reducing the frequency and circumstances under which ACOs submit sample ACO participant agreements and executed ACO participant agreements to CMS.
  • Modifications to the beneficiary notification requirement as it applies to ACOs under prospective assignment.

To learn more, refer to: 

April 27, 2021

Fiscal Year (FY) 2022 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH) Proposed Rule Proposes to Allow ACOs to “Freeze” Participation on BASIC Track Glide Path for PY 2022

On April 27, 2021, the CMS issued a proposed rule, entitled “FY 2022 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH) Rates Proposed Rule (CMS-1752-P),” that includes a proposal to allow eligible ACOs participating in the BASIC track’s glide path option to elect to forgo automatic advancement along the glide path’s increasing levels of risk and potential reward for PY 2022.

To learn more, refer to:

2020

December 1, 2020

Final Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2021

On December 1, 2020, CMS issued the Medicare PFS final rule that includes regulatory changes to the Shared Savings Program. A summary of those changes are as follows:

CMS finalized with modifications, our proposed revisions to the Shared Savings Program quality reporting requirements and quality performance standard for performance years beginning on January 1, 2021, to align with Meaningful Measures framework, reduce reporting burden, and focus on patient outcomes.

For PY 2020, CMS finalized the proposal to waive the requirement for ACOs to field a Consumer Assessment of Healthcare Providers and Systems (CAHPS®) for ACOs survey patient experience of care surveys and ACOs will receive automatic full credit for the patient experience of care measures. For more information, please refer to the QPP 2021 Final Rule ZIP.

In response to new telehealth code policies, and to update the definition of primary care services to reflect services for cognitive impairment and chronic care management, CMS finalized the inclusion of new evaluation and management and care management Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, including new telehealth codes, in the methodology used to assign beneficiaries to ACOs. CMS is also finalizing the proposal to exclude additional codes when delivered in skilled nursing facilities and inpatient care settings; codify the policy of adjusting an ACO’s historical benchmark to reflect any regulatory changes to the beneficiary assignment methodology; and lower required repayment mechanism amounts for certain renewing and re-entering ACOs.

In response to public comments, CMS revised the regulations specifying the adjustment to program calculations for episodes of care for treatment of the coronavirus disease 2019 (COVID-19) to ensure greater consistency in the policies used to identify inpatient services provided by IPPS and non-IPPS providers that trigger an episode of care for treatment of COVID-19. Additionally, CMS is finalizing the regulations specifying the expanded definition of primary care services for purposes of determining beneficiary assignment, and additional primary care service codes will be applied to all months of the assignment window (as defined in § 425.20) when the assignment window includes any month(s) of the COVID-19 public health emergency (PHE). For more information refer to:

September 14, 2020

PY 2019 Financial and Quality Performance Results

CMS released financial and quality performance results for PY 2019 and PY 2019A. PY 2019 includes the performance periods beginning January 1, 2019, and ending June 30, 2019, as well as the performance period beginning January 1, 2019, and ending December 31, 2019. PY 2019A refers to the performance period beginning July 1, 2019, and ending December 31, 2019.

Health Affairs Blog: 2019 Medicare Shared Savings Program ACO Performance: Lower Costs And Promising Results Under ‘Pathways To Success’

To view the complete performance results, refer the Performance Year Financial and Quality Results PUF on Data.CMS.gov.

August 4, 2020

Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2021

CMS is proposing changes to the Shared Savings Program quality performance standard and quality reporting requirements for performance years beginning on January 1, 2021, to align with Meaningful Measures, reduce reporting burden and focus on patient outcomes. For PY 2020, CMS is proposing to provide automatic full credit for CAHPS patient experience of care surveys. CMS is also seeking comment on an alternative scoring methodology approach under the extreme and uncontrollable circumstances for PY 2020. For more information, please reference the 2021 Quality Payment Program Proposed Rule Overview Fact Sheet.

In response to new telehealth code proposals and to update the definition of primary care services to reflect services for cognitive impairment and chronic care management, CMS is proposing to include new evaluation and management and care management CPT and HCPCS codes in the methodology used to assign beneficiaries to ACOs. In addition, CMS is proposing to exclude certain services furnished in skilled nursing facilities from the assignment methodology when provided by clinicians in Federal Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs), and to modify the definition of primary care services to exclude advance care planning CPT code 99497 and the add-on code 99498 when billed in an inpatient care setting. CMS is also codifying in regulations its policy of adjusting ACO’s historical benchmark to reflect any regulatory changes to the beneficiary assignment methodology.

As part of our efforts to reduce burden associated with repayment mechanisms, CMS is proposing to establish a policy that would allow renewing ACOs that wish to continue use of their existing repayment mechanism to decrease their repayment mechanism amount if a higher amount is not needed to support their new agreement period. This proposed approach includes a revised methodology for calculation of repayment mechanism amounts beginning with the application cycle for an agreement period starting on January 1, 2022, and in subsequent years, as well as a one-time opportunity for eligible ACOs that renewed their agreement periods beginning on July 1, 2019, or January 1, 2020, to elect to decrease the amount of their repayment mechanisms. For more information, refer to:

April 30, 2020

Interim Final Rule with Comment Released Announcing Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency

On April 30, 2020, CMS made changes to the Shared Savings Program to give the 517 ACOs serving more than 11 million beneficiaries greater financial stability and predictability during the COVID-19 pandemic. 

Because the impact of the pandemic varies across the country, CMS is making adjustments to the financial methodology to account for COVID-19 costs so that ACOs will be treated equitably regardless of the extent to which their patient populations are affected by the pandemic. CMS is also forgoing the annual application cycle for 2021 and giving ACOs whose participation is set to end this year the option to extend for another year. ACOs that are required to increase their financial risk over the course of their current agreement period in the program will have the option to maintain their current risk level for next year, instead of being advanced automatically to the next risk level.

ACOs and their participating health care providers are using telehealth visits to continue to coordinate and deliver high quality care to their assigned beneficiaries. Consequently, for PY 2020 and any subsequent performance year that starts during the PHE, CMS is including additional codes within the definition of primary care services used in determining beneficiary assignment under the Shared Savings Program so CMS can appropriately assign beneficiaries to ACOs based on remotely provided primary care services.

For more information, refer to: 

January 10, 2020

New ACOs Join the Shared Savings Program 

On January 10, 2020, CMS released the ACO participation data for PY 2020. 

Health Affairs Blog: Number Of ACOs Taking Downside Risk Doubles Under ‘Pathways To Success’

You can find here a full list of Shared Savings Program ACOs, including their ACO participants and skilled nursing affiliates. 

2019

September 30, 2019

PY 2018 Financial and Quality Performance Results

CMS released financial and quality performance results for PY 2018.

To view the results, refer to the Performance Year Financial and Quality Results PUF on Data.CMS.gov.

July 17, 2019

New ACOs Join the Shared Savings Program

On July 17, 2019, CMS released the ACO participation data for the July 1, 2019, start date. We approved a total of 206 ACO applications for this start date, which raised the total number of Medicare fee-for-service beneficiaries who receive care from health care providers in ACOs from 10.5 million to 10.9 million.

You can find here a full list of Shared Savings Program ACOs, including their ACO participants and SNF affiliates as of July 1, 2019.

2018

December 31, 2018

Shared Savings Program Final Rule

On December 31, 2018, CMS published a final rule that sets a new direction for the Shared Savings Program. Referred to as “Pathways to Success,” the final rule streamlines and redesigns the participation options available under the Shared Savings Program to encourage ACOs to transition to performance-based risk more gradually and incrementally to increase savings for the Trust Funds. The policies also include changes to address the additional tools and flexibilities for ACOs established by the Bipartisan Budget Act of 2018, specifically in the areas of new beneficiary incentives, telehealth services, and choice of beneficiary assignment methodology. 

For more information, refer to Federal Register December 2018 Final Rule.

November 23, 2018

Physician Fee Schedule Final Rule

The PFS final rule published in November 2018 addresses a subset of changes to the Shared Savings Program for ACOs proposed in the August 2018 proposed rule “Medicare Program; Medicare Shared Savings Program; Accountable Care Organizations Pathways to Success” and addresses various other revisions designed to update program policies under the Shared Savings Program. In order to ensure continuity of participation, finalize time-sensitive program policy changes for currently participating ACOs, and streamline the ACO core quality measure set to reduce burden and encourage better outcomes, CMS is finalizing the following policies:

  • A voluntary 6-month extension for existing ACOs whose participation agreements expire on December 31, 2018, and the methodology for determining financial and quality performance for this 6-month performance year from January 1, 2019, through June 30, 2019.
  • Reducing the Shared Savings Program core quality measure set by eight measures; and promoting interoperability among ACO providers and suppliers by adding a new Certified EHR Technology (CEHRT) threshold criterion to determine ACOs’ eligibility for program participation and retiring the current Shared Savings Program quality measure on the percentage of eligible clinicians using CEHRT.
  • Allowing beneficiaries who voluntarily align to a Nurse Practitioner, Physician Assistant, Certified Nurse Specialist, or a physician with a specialty not used in assignment to be prospectively assigned to an ACO if the clinician they align with is participating in an ACO, as provided for in the Bipartisan Budget Act of 2018.
  • Providing relief for ACOs and their clinicians impacted by extreme and uncontrollable circumstances in 2018 and subsequent years.
  • Revising the definition of primary care services used in beneficiary assignment.

For more information, refer to Details for CY 2019 PFS Final Rule.

August 9, 2018

Shared Savings Program Proposed Rule

CMS issued a proposed rule that would provide a new direction for the Shared Savings Program by establishing pathways to success through redesigning the participation options available under the program to encourage ACOs to transition to two-sided models (in which they may share in savings and are accountable for repaying shared losses). These proposed policies are designed to increase savings for the Trust Funds and mitigate losses, reduce gaming opportunities, and promote regulatory flexibility and free-market principles. The proposed rule also would provide new tools to support coordination of care across settings and strengthen beneficiary engagement; ensure rigorous benchmarking; promote interoperable electronic health record technology among ACO providers/suppliers; and improve information sharing on opioid use to combat opioid addiction.

For more information, refer to the Federal Register August 2018 Notice of Proposed Rule Making (NPRM).

2017

January 18, 2017

New ACOs Join the Shared Savings Program

CMS announced that 99 new ACOs and 79 renewing ACOs have been accepted to participate in the seventh cycle of the Shared Savings Program. As of January 1, 2017, there are 480 ACOs participating in the Shared Savings Program.

To view a complete list of participating ACOs, refer to the Accountable Care Organizations PUF on Data.CMS.gov 

For more information on Shared Savings Program data, visit the Program Data webpage.

2016

December 20, 2016

New Innovation Center Model Beginning PY 2018

CMS announced a new CMS Innovation Center model, the Medicare ACO Track 1+ Model (Track 1+ Model), beginning in 2018, that will test a payment design that incorporates more limited downside risk than is currently present in Tracks 2 or 3 of the Shared Savings Program to encourage progression to performance-based risk by Track 1 ACOs.

August 25, 2016

PY 2015 Financial and Quality Performance Results

CMS released financial and quality performance results for 392 ACOs with 2012, 2013, 2014, and 2015 agreement start dates.

To view the complete performance results, refer to the Performance Year Financial and Quality Results PUF on Data.CMS.gov.

For more information on Shared Savings Program data, visit the Program Data webpage.

January 11, 2016

New ACOs Join the Shared Savings Program

CMS announced that 100 new ACOs and 147 renewing ACOs have been accepted to participate in the sixth cycle of the Shared Savings Program. As of January 1, 2016, there are 434 ACOs participating in the Shared Savings Program.

To view a complete list of participating ACOs, refer to the Accountable Care Organizations PUF on Data.CMS.gov. 

For more information on Shared Savings Program data, visit the Program Data webpage.

2015

August 25, 2015

PY 2014 Financial and Quality Performance Results

CMS released financial and quality performance results for 333 ACOs with 2012, 2013, and 2014 agreement start dates.

To view the results, refer to the Performance Year Financial and Quality Results PUF on Data.CMS.gov.

2014

December 22, 2014

New ACOs Join the Shared Savings Program

CMS announced that 89 new ACOs have been accepted to participate in the fifth cycle of the Shared Savings Program, which begins on January 1, 2015.

To view a complete list of participating ACOs, visit the Accountable Care Organizations PUF on Data.CMS.gov

November 7, 2014

PY1 FINAL Financial and Quality Performance Results Released

CMS released the final financial and quality performance results for ACOs with 2012 and 2013 agreement start dates.

To view the results, refer to the Performance Year Financial and Quality Results PUF on Data.CMS.gov.

September 22, 2014

PY1 Quality Performance Results

CMS announced the PY1 quality performance results for ACOs with 2012 and 2013 agreement start dates. For PY1, CMS defined the quality performance standard at the level of complete and accurate reporting for all quality measures. In PY1, 209 ACOs met the quality performance standard and were eligible to share in savings, if earned. Quality performance for PY1 reconciliation for ACOs with 2012 start dates is based on complete and accurate reporting of all required quality measures for Calendar Year 2012 (CY 2012) and CY 2013. Quality performance for PY1 reconciliation for ACOs with 2013 start dates is based on complete and accurate reporting of all required quality measures for CY 2013. The quality performance results provided in the PY1 announcement reflect CY 2013 performance rates for 220 ACOs. The CY 2013 mean quality performance rate for each measure, across all ACOs, is also provided.

September 16, 2014

PY1 FINAL Financial and Quality Performance Results Announced

CMS announced PY1 FINAL financial and quality performance results for ACOs with 2012 and 2013 agreement start dates. During their first performance year, 53 ACOs with 2012 and 2013 start dates generated savings; PY1 is a 21- or 18-month period for ACOs with 2012 start dates, and a 12-month period for ACOs with 2013 start dates. ACOs that generated savings earned a performance payment if they met the quality standard. One Track 2 ACO with shared losses must repay CMS.

January 30, 2014

PY1 INTERIM Financial Reconciliation Results

CMS announced PY1 INTERIM financial reconciliation results for ACOs that started in April and July 2012. 31 ACOs that started in the Shared Savings Program in April or July 2012 generated shared savings or losses during their first 12 months of participation. We will complete the FINAL PY1 reconciliation later this year on all ACOs that started in 2012 and 2013. Consequently, an ACO's final performance results may differ from their interim results. ACOs that earned a performance payment were eligible for interim payment because they met the quality standard, elected the interim payment option in their application, and posted the required repayment mechanism. A Track 2 ACO with shared losses must repay CMS based on interim PY1 reconciliation if it elected the interim payment option in its application and posted the required repayment mechanism.

2013

December 23, 2013

New ACOs Join the Shared Savings Program

CMS announced that 123 new ACOs have been accepted to participate in the fourth cycle of the Shared Savings Program, which begins on January 1, 2014.

To view a complete list of participating ACOs, refer to the Accountable Care Organizations PUF on Data.CMS.gov. 

January 10, 2013

New ACOs Join the Shared Savings Program

CMS announced that 106 new ACOs have been accepted to participate in the third cycle of the Shared Savings Program, which began on January 1, 2013.

To view a complete list of participating ACOs, refer to the Accountable Care Organizations PUF on Data.CMS.gov

2012

July 9, 2012

New ACOs Join the Shared Savings Program

CMS announced that 88 new ACOs have been accepted to participate in the second cycle of the Shared Savings Program, which began on July 1, 2012.

April 10, 2012

New ACOs Join the Shared Savings Program

CMS announced that new ACOs have been accepted to participate in the first cycle of the Shared Savings Program, which began on April 1, 2012.

2011

November 10, 2011

The Shared Savings Program Final Rule

October 20, 2011

New Incentives for Providers to Coordinate Care

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