J. Michael McWilliams, MD, PhD
This article was published at www.annals.org on 11 October 2016.
Disclaimer: The content of this article is solely the responsibility of the author and does not necessarily represent the official views of the Laura and John Arnold Foundation or the National Institutes of Health.
Grant Support: Supported by grants from the Laura and John Arnold Foundation and the National Institute on Aging of the National Institutes of Health (P01 AG032952).
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Requests for Single Reprints: J. Michael McWilliams, MD, PhD, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115; e-mail, firstname.lastname@example.org.
Author Contributions: Conception and design: J. M. McWilliams.
Analysis and interpretation of the data: J. M. McWilliams.
Drafting of the article: J. M. McWilliams.
Critical revision of the article for important intellectual content: J. M. McWilliams.
Final approval of the article: J. M. McWilliams.
Obtaining of funding: J. M. McWilliams.
McWilliams JM. Savings From ACOs—Building on Early Success. Ann Intern Med. [Epub ahead of print 11 October 2016]:. doi: 10.7326/M16-1846
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Published: Ann Intern Med. 2016.
With 434 participating organizations, the Medicare Shared Savings Program (MSSP) represents the signature payment reform of the Patient Protection and Affordable Care Act, the largest new payment model implemented by the Centers for Medicare & Medicaid Services (CMS), and the leading reason that the Department of Health and Human Services' ambitious goal of tying 50% of fee-for-service Medicare payments to such models by 2018 remains possible. For each accountable care organization (ACO) in the MSSP, the program sets a benchmark for total spending in an attributed patient population and provides incentives to reduce spending below the benchmark while providing high-quality care (Figure). Whether the MSSP will substantially reduce spending has been hotly debated and may very well shape the future of Medicare payment policy—and thus the opportunities for clinicians to be rewarded for high-value care.
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