Track 1+
Background
NAACOS has strongly supported and been instrumental in developing the Track 1+ ACO model, and 2018 was 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.
As a result of the COVID-19 pandemic, CMS announced it would extend by a year Track 1+ for ACOs with agreements ending on December 31, 2020. More information on actions taken by CMS in light of COVID-19 can be found on this page.
Overview
News and Advocacy
2020
- CMS announces a voluntary 1-year agreement extension for ACOs with agreement periods ending on December 31, 2020, including Track 1+ Model ACOs
- CMS Releases 2020 MSSP Report Schedule
2019
2018
- CMS releases final ACO ‘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’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+
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