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.

CMS in the Pathways to Success regulation retired Track 1+, which is becoming Basic Level E under the program’s new structure. NAACOS provides more information on Pathways on this page and additional resources on the MSSP here.

Overview

• CMS Track 1+ Factsheet
  
  
• CMS hosts webinar on Track 1+
  
  
• NAACOS ACO Comparison Chart updated for 2019 to reflect the new Pathways structure and old MSSP structure

News and Advocacy

2019

• 2018 performance data from CMS shows MSSP generated $1.7 billion in savings, prompting this NAACOS statement
  
  
• • NAACOS resource includes highlights from the 2018 MSSP results
    
    
• NAACOS chart of CMS Innovation Center models and their overlap with ACOs
  
  
• Key deadlines and action dates for 2020 applicants issued by CMS
• The application deadline to participate starting January 2020 is June 28
  
  
• CMS Releases 2019 MSSP Report Schedule
  
  
• NAACOS calls on CMS to extend July 1, 2019 application period
  
  
• MSSP application details from CMS’s website
• Notice of Intent to Apply guidance
• MSSP participation options
• Beneficiary Incentive Program guidance 
• Skilled Nursing Facility (SNF) 3-Day Rule waiver guidance
• CMS released the application toolkit 
• ACO participant lists and participant agreements guidance 
• Repayment mechanisms guidance 
• ACO banking form guidance 

2018

• CMS releases final ACO ‘Pathways to Success’ rule
  
  
• NAACOS statement on the final Pathways to Success rule
  
  
• NAACOS holds webinar providing in-depth review of final ‘Pathways to Success’ rule and participation options for 2019 and beyond 
  
  
• 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 
  
  
• 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 press release and CMS factsheet
  
  
• 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
  
  
• 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+