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September 27, 2018

ACO roundup: Industry groups oppose shorter MSSP risk assumption period proposal

Daily Briefing
    • Industry groups urge against shorter downside risk assumption period in MSSP. Nine health care industry groups, including the American Medical Association and the Medical Group Management Association, last week sent a letter to CMS urging the agency to reevaluate a proposal that would shorten the timeframe new ACOs have to assume downside financial risk in the Medicare Shared Savings Program (MSSP). The industry groups say CMS' plan to have new ACOs assume downside financial risk after two years, down from six years, and reduce shared savings rates for upside-only ACOs by 50% would harm MSSP's sustainability.
    • Health care alliance to offer APM for substance misuse treatment. The Alliance for Recovery-Centered Addiction Health Services, a newly formed alliance, this month announced an Alternative Payment Model (APM) that emphasizes providing a long-term, comprehensive, integrated path to treatment and recovery for patients with a substance use disorder. The model, called the Addiction Recovery Medical Home, is centered on five elements: payment; quality metrics; integrated treatment and recovery network; a care recovery team; and a treatment and recovery plan. The alliance has partnered with the National Committee for Quality Assurance to ensure the quality measures reflect patient outcomes and performance accurately.
    • Less than 15% of physician pay tied to value-based metrics. The proportion of physician compensation tied to value-based metrics has held flat, below 15% over the last few years, according to a new survey from the Physicians Foundation. The survey found an average of 14.2% of physician compensation was tied to value-based metrics in 2018, down slightly from 14.8% in 2016. The survey found nearly half of the 42.8% of physicians who said they had some value-based compensation, had less than 10% of pay tied to value-based metrics.

    From Advisory Board:

    • What's new in chronic disease management? Join us on today, September 27, at 3:00 p.m. ET to learn how provider organizations are scaling legacy approaches to chronic disease management for multi-morbid patients, while improving health outcomes and reducing utilization.

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    • Learn key tactics for benchmarking your primary care access performance. Join us on Wednesday, October 24, at 1:00 p.m. ET to hear results from our access benchmarking survey and learn advanced tactics for strengthening access performance..      

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