Medicare Shared Savings Program (MSSP)
GPTKB entity
Statements (58)
| Predicate | Object |
|---|---|
| gptkbp:instanceOf |
Medicaid program
|
| gptkbp:abbreviation |
gptkb:MSSP
|
| gptkbp:acceptsPaymentMethod |
shared savings
value-based |
| gptkbp:ACOEligibility |
gptkb:rural_health_clinics
hospitals critical access hospitals federally qualified health centers physician groups networks of individual practices other providers/suppliers |
| gptkbp:administeredBy |
gptkb:Centers_for_Medicare_&_Medicaid_Services
|
| gptkbp:annualReport |
annual public reporting of ACO performance
|
| gptkbp:approvedBy |
gptkb:Patient_Protection_and_Affordable_Care_Act
|
| gptkbp:beneficiaryAssignment |
retrospective
prospective |
| gptkbp:beneficiaryChoice |
voluntary alignment
|
| gptkbp:benefit |
over 10 million (2023)
|
| gptkbp:compatibleWith |
subject to CMS audits
|
| gptkbp:country |
gptkb:United_States
|
| gptkbp:dataSharing |
Medicare claims data to ACOs
|
| gptkbp:established |
2012
|
| gptkbp:focusesOn |
primary care
chronic disease management preventive care |
| gptkbp:hasTrack |
Track 1
Basic Track Enhanced Track Track 1+ (retired) Track 2 (retired) Track 3 (retired) |
| https://www.w3.org/2000/01/rdf-schema#label |
Medicare Shared Savings Program (MSSP)
|
| gptkbp:involves |
gptkb:Accountable_Care_Organizations
|
| gptkbp:numberOfACOs |
over 480 (2023)
|
| gptkbp:offers |
financial incentives for cost savings
|
| gptkbp:penalty |
repayment of losses in two-sided risk tracks
|
| gptkbp:purpose |
improve quality of care for Medicare fee-for-service beneficiaries
reduce unnecessary costs |
| gptkbp:qualityMeasures |
clinical care
patient safety care coordination patient experience preventive health at-risk population management |
| gptkbp:relatedTo |
gptkb:Next_Generation_ACO_Model
Medicare Part D |
| gptkbp:renewalPeriod |
3 years
|
| gptkbp:requires |
care coordination
quality reporting minimum of 5,000 assigned Medicare beneficiaries per ACO |
| gptkbp:riskModel |
one-sided risk
two-sided risk |
| gptkbp:savingsGenerated |
$1.8 billion (2022)
|
| gptkbp:targetAudience |
Medicare beneficiaries
|
| gptkbp:type |
gptkb:government_agency
|
| gptkbp:website |
https://www.cms.gov/medicare/shared-savings-program
|
| gptkbp:bfsParent |
gptkb:Pioneer_ACO_Model
|
| gptkbp:bfsLayer |
6
|