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
News and Advocacy
2019
- 2018 performance data from CMS shows MSSP generated $1.7 billion in savings, prompting this NAACOS statement
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- 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
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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