Statistical Uncertainty in the Medicare Shared Savings Program

King & Spalding
Contact

CMS has released the results of a recent analysis, published in Vol. 2, No. 4 of the Medicare & Medicaid Research Review, entitled Statistical Uncertainty in the Medicare Shared Savings Program.  The study examined the statistical risks facing CMS and Accountable Care Organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP) and found that random fluctuations in year-to-year healthcare spending may play a larger-than-expected role in savings measurement. Particularly smaller ACOs face real risk that they may be “inappropriately rewarded” or pay an “undeserved penalty” with respect to cost savings they achieve (or fail to achieve).  The study analyzes the MSSP formulas that are designed to control for random fluctuations in healthcare spending and offers a discussion of policy implications and suggestions for incorporating the analysis into future ACO reimbursement formulas.  A copy of the paper is available by clicking here.

Reporter, Susan Banks, Washington, D.C., +1 202 626 2953, sbanks@kslaw.com.

 

 

Written by:

King & Spalding
Contact
more
less

King & Spalding on:

Reporters on Deadline

"My best business intelligence, in one easy email…"

Your first step to building a free, personalized, morning email brief covering pertinent authors and topics on JD Supra:
*By using the service, you signify your acceptance of JD Supra's Privacy Policy.
Custom Email Digest
- hide
- hide

This website uses cookies to improve user experience, track anonymous site usage, store authorization tokens and permit sharing on social media networks. By continuing to browse this website you accept the use of cookies. Click here to read more about how we use cookies.