What is the Medicare Shared Savings Program (MSSP)?
The Centers for Medicare and Medicaid Services (CMS) established the MSSP to facilitate coordination and cooperation among providers to improve the quality of care for Medicare Fee-For-Service (FFS) beneficiaries and reduce unnecessary costs. Eligible providers, hospitals and suppliers may participate in the MSSP by creating or participating in an Accountable Care Organization (ACO). An ACO is a group of doctors, hospitals, and healthcare providers working together with insurers to give you high quality, more coordinated service and care.
Advantaged of Participation in an ACO:
- Shared Savings
- Shared Learning
- Compliance with Physician Quality Reporting System (PQRS) measures, which now falls under the Quality scoring for MACRA
Our ACO(s) addresses key cost and quality problems common in current fragmented care systems, including but not limited to:
- Duplication of services arising from fragmented care
- Adverse events arising from fragmented care
- Costs of insufficient preventive care
- Growing costs of chronic conditions such as diabetes, asthma, and heart conditions
- Increasing administrative costs of healthcare
- Unsustainable fee-for-service based reimbursement, rewarding volume rather than quality of care
Coordinated Care Can:
- Eliminate waste and inefficiency by avoiding duplication of tests
- Reduce adverse events by lessening the likelihood of drug interactions from multiple prescribers
- Establish accountability by defining who is responsible for each aspect of patient care and increasing each caregiver’s awareness of how one aspect of care impacts all other aspects of care
- Facilitate patient transitions from one care setting to another, from hospital to rehabilitation center to home, for example