Pathways to Success Aims to Set New Direction for the Medicare Shared Savings Program

The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule earlier this month that sets a new direction for the Medicare Shared Savings Program (MSSP). Referred to as “Pathways to Success,” the proposal would redesign the participation options to encourage Accountable Care Organizations (ACOs) to transition to two-sided models where they will share in savings but are also accountable for shared losses. According to CMS, the proposal is designed to advance five goals: Accountability, Competition, Engagement, Integrity, and Quality. The projected financial impact of the proposal would be savings to Medicare of $2.2 billion over ten years.