In recent years, providers are taking on increasing levels of risk and responsibility for their Medicare fee-for-service (FFS) patients. Accountable Care Organizations (ACOs) have become a popular option for provider groups and health plans transitioning towards more risk-based contracts. In this session, we provide background on the history of the CMS-sponsored risk sharing programs, examine the current and future landscape, analyze drivers of performance in these programs, and discuss how MA plans are well-positioned to generate additional revenue through these models.
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- Summary of changes to the CMS direct contracting program
- Direct Contracting: A program summary and comparison with MSSP and NGACO
- Trust but verify: Best practices for third party validation in provider risk-sharing contracts
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