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SHARED-SAVINGS PAYMENT 2025

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The document presents six case studies on shared-savings payment arrangements in health care, highlighting their potential to improve quality and reduce costs. It discusses the variations in program design, patient populations, and performance measurement across different initiatives. The findings suggest that while these programs show promise, their effectiveness and long-term viability remain uncertain. The report emphasizes the need for further exploration of organizational differences and outcomes to enhance shared-savings approaches.

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Click ‘Get Form’ to open the SHARED-SAVINGS PAYMENT document in the editor.
Begin by reviewing the introductory section, which outlines the purpose of the shared-savings payment model and its significance in health care.
Fill in your personal information in the designated fields, ensuring accuracy for effective communication regarding your shared-savings arrangements.
Proceed to complete any specific sections related to patient populations and services covered under your shared-savings agreement.
Review performance targets and criteria outlined in the document, making sure to align your responses with these benchmarks.
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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What does an ACO agree to be accountable for?

An ACO agrees to work together with Medicare to give patients the best possible care. ACOs have agreements with Medicare to be financially accountable for the quality, cost and experience of care that traditional fee-for-service Medicare patients receive.

What are the tracks for shared savings program?

ACOs may participate in the Shared Savings Program for agreement periods of at least five years, under one of two tracks: the BASIC track (which includes a glide path for eligible ACOs), or the ENHANCED track, which offers the highest level of risk and potential reward.

What is calculated to determine the savings of the ACO?

The shared savings rate is the percentage of any estimated savings (compared with benchmark) that is paid to the ACO, subject to meeting any requirements for quality performance. For example, an ACO with a savings rate of 50 percent that outperforms its benchmark by 3 percent would keep 1.5 percent of benchmark spend.

What is the shared savings program in Florida?

The Shared Savings Program is a voluntary program available to you and your dependents enrolled in a State Group Insurance health plan. The purpose of the Shared Savings Program is to reduce health care costs and reward you for making informed and cost-effective decisions about your health care.

What is the MSSP incentive program?

The MSSP is an alternative payment model in which eligible providers, hospitals, and suppliers are rewarded for achieving better health for individuals, improving population health, and lowering growth in healthcare expenditures.

What are the quality measures for ACO?

Quality Measures Thirty-four individual measures of quality performance are used to determine if an ACO qualifies for shared savings. These 34 measures span four quality domains: Patient Experience of Care, Care Coordination/Patient Safety, Preventive Health, and At-Risk Population.

What are the reporting requirements for MSSP 2025?

For performance year 2025, MSSP ACOs must report four electronic Clinical Quality Measures (eCQMs) under the APP Plus measure set: Diabetes: Hemoglobin A1c Poor Control. Depression Screening and Follow-Up. Controlling High Blood Pressure. Cancer Screening.

How does a shared savings program work?

Medicare Shared Savings Program (Shared Savings Program) ACOs are groups of doctors, hospitals, and other health care providers who collaborate to give coordinated high-quality care to people with Medicare, focusing on delivering the right care at the right time, while avoiding unnecessary services and medical errors.

SHARED-SAVINGS PAYMENT 2025

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