Track 1+
Background
NAACOS has strongly supported and been instrumental in developing the Track 1+ ACO model, and 2018 is the first performance year for the model. Track 1+ creates a glide path for ACOs to take on risk and includes lower risk levels than those required in other Medicare ACO models. Track 1+ includes elements of Medicare Shared Savings Program Track 1 and Track 3.
Overview
- CMS Track 1+ Factsheet
- CMS’s MSSP ACO Track 1+ Model, and SNF 3-Day Rule Waiver 2018 Application Reference Manual
- NAACOS ACO Comparison Chart details elements of Track 1+ and other MSSP tracks and the Next Generation ACO model
News and Advocacy
2019
- The application deadline for July 1, 2019 starts is February 19
2018
- CMS released guidance on apply for the new waiver from the Skilled Nursing Facility (SNF) 3-Day Rule
- CMS releases final ACO ‘Pathways to Success’ rule on 12/21/18
- NAACOS holds webinar providing in-depth review of final ‘Pathways to Success’ rule and participation options for 2019 and beyond
- Notice of Intent to Apply for July 1, 2019 start in new ‘Pathways to Success’ structure of the MSSP due January 18, 2019
- 2019 MSSP application details provided on the CMS website
- NAACOS statement on the final Pathways to Success rule
- NAACOS analysis of the final 2019 Physician Fee Schedule and Quality Payment Program rule
- NAACOS Review of ACO Pathways to Success Provisions included in the Medicare Physician Fee Schedule Rule
- 2019 Application Considerations for ACOs
- NAACOS resource provides highlights of the 2018 Medicare ACO class and shows ACO growth over time
- CMS announces 561 MSSP ACOs in 2018, including 55 Track 1+ ACOs
- NAACOS’s paper, Differences Between Medicare ACO Tracks that May Impact ACO Financial Results
- NAACOS interactive table for ACOs to input their own projected values to help ACOs illustrate how they may perform under the various tracks.
- NAACOS letter urges CMS to lessen repayment mechanism requirements for revenue-based Track 1+ ACOs
- CMS responds to NAACOS request by modifying the Track 1+ repayment mechanism requirements
- CMS updated Track 1+ program information and FAQs in this factsheet and hosts webinar on Track 1+
- NAACOS provides detailed comments to CMS on implementation of Track 1+ and other key ACO improvements
- As part of the Episode Payment Model final rule published in early 2017, CMS provides information on Track 1+ which is explained in this NAACOS Overview
- NAACOS and others submit comments to CMS on developing Track 1+
- NAACOS and Premier press release on comments to CMS on developing Track 1+
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