October 16, 2018


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Today, Caravan Health sent a detailed comment letter on the recently proposed rule on the future of the Medicare Shared Savings Program, commonly known Medicare Accountable Care Organizations. Overall, Caravan Health supports the direction of the proposal – it’s encouraging to see CMS thoughtfully proposing to update the program in light of the experience of its early years. The letter makes specific recommendations that would strengthen the program while protecting small and rural providers that can’t take easily take on downside risk.   

Caravan Health recommends: 

  • Allowing rural and safety net providers to participate in Basic Track Level A, with a sharing rate of 50 percent, as long as they are improving quality and not increasing costs.  

  • Widening the Minimum Savings/Loss Rate corridors to correspond to a 99 percent confidence interval to be more certain that shared savings and losses are truly earned and not based on statistical noise.  

  • Making changes to encourage the success of hospital-affiliated ACOs as well as to reduce burdensome regulations that consume practice time with no benefit to patients.  


Read our recent article to learn more about what to expect next from CMS regarding the proposed rule.  

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