May 29 Deadline for 2016 Medicare Shared Savings Program

The deadline for submitting a non-binding Notice of Intent (NOI) to apply for the Medicare Shared Savings Program (MSSP) is Friday, May 29, at 8:00 pm EDT.

Completing the NOI is a prerequisite to submitting a full application to participate in the MSSP.  No application will be accepted from an organization that does not submit an NOI by the May 29 deadline.

The full application is due by July 31, 2015.  The next opportunity to submit an application for participation will be summer 2016.

Submitting an NOI does not obligate an organization to participate in the MSSP or even submit an application for participation.

In the four years since the program’s inception, more than 400 accountable care organizations (ACOs) have been accepted into the MSSP.  Approximately one-quarter of all Traditional Medicare beneficiaries now are attributed to an MSSP ACO.

In our experience, these organizations have recognized the following “Top Ten” benefits from MSSP participation:

  1. Opportunity to earn shared savings payments in addition to regular fee-for-service reimbursement.
  2. No exposure to downside risk.
  3. Rally point for clinically integrated network development.
  4. Training ground for population health management.
  5. Receipt of Medicare claims data across their attributed population.
  6. Protection under the fraud and abuse waivers.
  7. Planning for participation in risk-based alternative payment models.
  8. Legitimacy with commercial payers.
  9. Response to local competitive dynamics.
  10. Satisfaction of physician quality reporting requirements.

Given Medicare’s stated intention to tie 50% of all payments to alternative payment models like ACOs by the end of 2018, now is the time to give serious consideration to ACO formation and MSSP participation.

For more information regarding the MSSP, please see our white paper, Medicare ACO Road Map, and our Medicare ACO Infographic.

PYA can assist you in evaluating the MSSP opportunity and/or completing the full application.  Please contact the expert listed below at (800) 270-9629.


Martie Ross

Martie Ross

Principal

Related Posts
An article by PYA Principal W. Lyle Oelrich was recently published by Becker’s Hospital Review. “10 Physician Compensation Statistics: How Does Your Organization Measure Up?” provides a list of statistics...
Read More

“10 Physician Compensation Statistics: How Does Your Organization Measure Up?”

Becker’s Hospital Review recently published an article by PYA Consulting Manager Kathryn Culver. The article, “The Conflict Between Post-Acquisition Compensation and the Value of Your Medical Practice,” explores the inverse...
Read More

The Conflict Between Post-Acquisition Compensation and the Value of Your Medical Practice

Businesses are increasingly reliant on technology to achieve organizational objectives. However, with the convenience and efficiency of technology come intensifying risks of data loss and theft. High-profile data breaches top...
Read More

Cybersecurity Framework “SOCs” It to Cyber Threats

Engage. Share. Encourage. The American Healthcare Lawyers Association (AHLA) is hosting AHLA Day April 19, 2018, and these impactful words are setting the tone. AHLA receptions will be held across...
Read More

Join PYA in Celebrating Our Health Lawyer Colleagues During AHLA Day

PYA has released a white paper that discusses the importance of the AICPA’s cybersecurity risk management framework and System and Organization Controls for Cybersecurity in assessing the strength and effectiveness...
Read More

New PYA White Paper: Framework Offers Companies Solution for Cybersecurity Risk

PYA has added 2018 reimbursement updates to a white paper that provides valuation guidance to hospitals considering telemedicine arrangements for providing much-needed healthcare services at lower costs. As patient demand...
Read More

PYA White Paper “An Introduction to Valuing Telemedicine” Gets 2018 Updates

Compliance Today magazine recently published an article, “Regulatory Compliance: Physician Needs Assessments Are an Integral Step,” authored by PYA Principal Tynan O. Kugler. It highlights the critical role physician needs...
Read More

Regulatory Compliance: Physician Needs Assessments Are an Integral Step

Medicare cards are getting a much-needed facelift.  The Centers for Medicare & Medicaid Services has announced its intention to remove Social Security numbers from the cards in an effort to...
Read More
Medicare card scam

New Medicare Cards in the Mail—Don’t Fall Prey to Scammers

PYA has released an updated white paper offering a succinct list of changes and updated instructions for providing and billing Medicare for chronic care management. PYA, a national professional services...
Read More

Updated White Paper Addresses Changes in Providing and Billing Medicare for Chronic Care Management Services

Share This Insight

If you received value from this article, please share it with your network (e.g., Facebook, Twitter, LinkedIn). Icons below for your convenience.

Stay Current

* indicates required
Monthly eNewsletters
See more newsletter and alert options.

PYA Population Health Ascend

PYA Healthcare Blog

PYA Thought Leadership Services

The Healthcare Loop