Considerations regarding the Next Generation ACO stop-loss methodology

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By Hugh Larson, Timothy J. Wilder, Annie Man, Coleen Young | 22 December 2017
The Centers for Medicare and Medicaid Services announced that Next Generation acocuntable care organizations (NGACOs) may opt out of the individual stop-loss provision for 2018. NGACOs will need to make this 2018 opt-out decision by December 27, 2017. This report identifies several important considerations regarding the impact of the stop-loss provision on participating NGACOs.