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.  

Recent Resources

CMS Actions in Response to the COVID-19 Public Health Emergency

The Centers for Medicare and Medicaid Services just issued a lengthy set of policy changes to address the growing COVID-19 public health emergency (PHE). These changes will help hospitals and health providers to respond to the crisis more quickly and safely, including many more options for telehealth in Medicare.

ACO, Policy, Webinars & Events, Quality, Value-Based Care, COVID-19

Stop Standing Still: How to Get Started in a High-Performing Caravan Health ACO

Tuesday, September 24 at 9:00am PT / 12:00pm ET

ACO, Webinars & Events

10 Reasons ACOs Can Fail

Just published in Becker’s Hospital Review – Caravan Health Senior Vice President Tim Gronniger discusses ten reasons Accountable Care Organizations can fail.

ACO, Blogs & News, Value-Based Care


Stay up to date on the latest info on value-based care - visit our resources page

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