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MSSP Program May Add New Quality Measures

Christopher Cheney, for HealthLeaders Media, July 14, 2014

"Additionally, some of the minor tweaks to align metrics and measures with those used in other CMS initiatives are a good indicator that the program is here to stay, and that CMS will have a desire to continue to grow the number of Medicare beneficiaries that it covers."

Provider Reaction

Healthcare providers appear to find MSSP intriguing, but modest levels of gain-sharing so far have them pushing for more benefits.

"Our reason to enter this program was to dip our toe into a risk-bearing contract," says Jonathan Nasser, co-chief clinical transformation officer at Middletown, NY-based Crystal Run Healthcare, one of the first 27 MSSP ACO participants. "We viewed it as a learning experience, which has been a success."

Now that it has climbed the accountable care learning curve, Crystal Run would like to see a higher level of gain-sharing, Nasser says, adding that his organization has yet to realize any significant revenue from participating in MSSP.
"It feels like the deck is stacked against the ACOs to actually see gain-sharing," he said, adding Crystal Run had faced several MSSP challenges such as embracing data analytics. "It definitely was a lot of work."

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