On December 21, 2018, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that sets a new direction for the Medicare Shared Savings Program (Shared Savings Program). Referred to as “Pathways to Success,” this new direction for the Shared Savings Program redesigns the participation options available under the program to encourage Accountable Care Organizations (ACOs) to transition to performance based risk more quickly and, for eligible ACOs, incrementally, to increase savings for the Trust Funds.
Under these changes, Beacon Health Partners will conclude its participation as a Track 1 Participant as of June 30, 2019. We wish to thank you for your membership and your hard work and contributions.
CHS Physician Partners has reviewed and evaluated at length the new provisions contained within Pathways to Success and acknowledges that there is a steeper and mandatory glide path to downside risk. As such, CHS Physician Partners has decided that we will be applying for two (2) Pathways to Success Basic Track programs that will commence on July 1, 2019. While both groups will be participating in the Basic Track, they will not be in the same Level.
Over the next few days, you will receive an invitation to participate in one of these 2 ACOs that give us the best chance to achieve success. The new Pathways to Success Agreements run for 5½ years and will need to be returned no later than March 1, 2019.
We will be holding a number of conference calls / town halls and will provide you with multiple formats in which to obtain information and ask questions about the new Pathways to Success Program.
Our historical performance in MSSP has not produced shared savings. We are confident that our enhanced capabilities in the domains of care coordination, quality improvement, network performance management and risk adjustment along with the incentives within this modified program will drive the necessary changes in clinical behavior that will result in better outcomes at a lower total cost of care for the beneficiaries that are attributed to the CHSPP ACO.
CHS Physician Partners also recognizes that we will need to support providers for the Merit-based Incentive Payment System (MIPS) who will not qualify as a MIPS-APM (Alternative Payment Model). CHS Physician Partners is strategizing how best to enhance the level of support we provide to participating providers with the tools and resources that will be required for successful participation.
Please anticipate our future communications and we look forward to working closely with you in the coming days.
George Beauregard, DO Jonathan Goldstein, MBA
Senior Vice-President for Value-Based Care Executive Director
 CMS.gov Fact Sheet Final Rule Creates Pathways to Success for the Medicare Shared Savings Program, December 21, 2018 https://www.cms.gov/newsroom/fact-sheets/final-rule-creates-pathways-success-medicare-shared-savings-program