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Sheila H. Fuse
Senior Vice President, Policy & Payment Models


On Dec. 21, CMS finalized the Medicare Shared Savings Program Pathways to Success rule. The final rule represents the most sweeping changes to the program since its inception. While accelerating the transition to risk, the rule's changes to the benchmarking methodology and expanded opportunities to use telehealth, beneficiary incentives, and skilled nursing facility waivers increase opportunities for ACOs to succeed financially in the program. However, like under prior program rules, for ACOs to successfully improve patient outcomes and reduce the total cost of care, they will need an aligned funds flow model, infrastructure to support care redesign and individualized care plans, and strong partnerships with post-acute networks. 

After This Webinar You'll Be Able To:

  • Learn how CMS determines the default level of risk at which each ACO begins and how to identify options
  • Choose the participation option that best fits your organization's experience with risk
  • Understand the financial impact of changes in the benchmarking methodology
  • Develop strategies to manage risk and succeed under the new MSSP rules           

Recommended for:

CEOs, CFOs, physician or clinical leaders, physician practice executives, health plan executives, directors/VPs of reimbursement, directors/VPS of managed care 

Field of Study: Specialized Knowledge                      

Delivery Method: Group Internet
Level: Intermediate                                           
Pre-work: None                            
Prerequisites: Basic understanding of shared savings contracts                              
Contact hours: 1.5


HFMA members: Free  

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Note: This on-demand webinar is available until February 5, 2020.