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Pathways to Success MSSP final rule: Financial benchmark22 February 2019 - By Jill S. Herbold and Cory Gusland and Charlie Mills and Matthew J. Kramer - Article

This paper discusses the changes to the financial benchmark methodology that measures the gross savings or losses of an accountable care organization under the Medicare Shared Savings Program.

Pathways to Success MSSP final rule: Winners and losers14 February 2019 - By Anders Larson and Cory Gusland - Article

This paper examines the Medicare Shared Savings Program’s (MSSP) final rule from the perspective of different accountable care organization (ACO) situations to help readers understand how the MSSP rule might affect different ACOs.

Pathways to Success: MSSP proposed rule: Winners and losers03 October 2018 - By Anders Larson and Cory Gusland - Article

All accountable care organizations (ACOs) will be affected by the Medicare Shared Savings Program if enacted, and the impact of the rule change will vary by ACO depending on its current situation and unique characteristics.

Pathways to Success: MSSP proposed rule: Financial benchmark28 August 2018 - By Jill S. Herbold and Cory Gusland and Charlie Mills - Article

This paper discusses “Pathways to Success” and the important implications in store for Medicare accountable care organizations.

Pathways to Success: MSSP proposed regulation: Summary white paper20 August 2018 - By Colleen Norris and Cory Gusland and Charlie Mills and Hugh Larson - Article

This paper provides a summary of the Centers for Medicare and Medicaid Services’ sweeping proposed regulations that will significantly change the Medicare Shared Savings Program.

The exclusion of some nursing facility visits from MSSP assignment has potential unintended consequences16 April 2018 - By Kathryn V. Fitch and Cory Gusland - Article

This article describes the changes in the historical benchmarks and performance expenditures for a number of Medicare Shared Savings Program accountable care organizations and also explains the possible impact of these changes.

Insurance risk and its impact on provider shared risk payment models12 January 2018 - By Juliet M. Spector and Cory Gusland and Carol Kim - Article

A challenge facing providers and payers is to design shared risk payment models that incentivize providers to deliver efficient, high-quality care without assuming too much insurance risk from payers.

What predictive analytics can tell us about key drivers of MSSP results28 September 2017 - By Jill S. Herbold and Anders Larson and Cory Gusland - Article

This article provides insight into the 2015 gross savings/(losses) achieved by accountable care organizations in their third performance year of the Medicare Shared Savings Program.

Five common pitfalls in commercial ACO shared risk arrangements31 August 2016 - By Adam Laurin and Cory Gusland - Article

For shared risk agreements to be transformational, providers and payers must work together to construct agreements that adequately reward providers, are economically viable over a multiyear period, and strive to transfer care management risk.

Next Generation ACO Model: Should we take the plunge?31 March 2016 - By Charlie Mills and Cory Gusland and Noah Champagne - Article

This article identifies five key considerations that all accountable care organizations (ACOs) should closely review before deciding whether or not to use the Next Generation ACO Model.


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