Saturday, December 27, 2025

Fierce Healthcare: HHS’ OIG: CMS must review how MSSP overhaul is affecting ACO care

“The Trump administration needs to review how major changes to accountable care organizations have impacted their ability to coordinate value-based care, according to a report from HHS’ watchdog.”

“The HHS Office of the Inspector General (OIG) said in a report delivered Friday that ACOs have reported successful strategies to lower Medicare spending. But the Centers for Medicare and Medicaid Services (CMS) must do better in sharing such strategies, in addition to a review…”

“The Medicare Shared Savings Program (MSSP), which administers ACOs, now requires the organizations to take on risk at an earlier rate. An ACO can get a cut of savings that it generates in Medicare spending, but will have to pay back the federal government if spending goes too high.”

“An analysis from the National Association of ACOs found that ACOs saved Medicare $2.7 billion since the inception of the program.”

“The revamped MSSP requires new ACOs to take on risk after three years in the program, as opposed to six years under rules from the Obama administration.” Read the full article here.

Source: HHS’ OIG: CMS must review how MSSP overhaul is affecting ACO care – By Robert King, July 26, 2019. Fierce Healthcare.

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Jackie Gilbert
Jackie Gilbert
Jackie Gilbert is a Content Analyst for FedHealthIT and Author of 'Anything but COVID-19' on the Daily Take Newsletter for G2Xchange Health and FedCiv.

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