The Centers for Medicare & Medicaid Services (CMS) released new data showing that it made a $313 million gain from the Medicare Shared Savings Program in 2017. The 472 Medicare Accountable Care Organizations (ACOs) collectively generated savings of $1 billion and CMS paid $780 million in bonuses to the ACOs.
The savings are the result of more ACOs moving to risk-based contracts in 2017. However, 433 of the 472 ACOs (92%) remain in Track 1 where providers have no downside risk. Six ACOs (1.3%) were in Track 2 and 33 (7%) were in Track 3, both of which require providers to pay back any losses to CMS.
Notwithstanding these gains, CMS plans to eliminate Track 1 from the Medicare Shared Savings Program which will likely result in many ACOs leaving the program.
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