Corrected Medicare Shared Savings Program results are out; where does your organization fall? And are they real?

By Jason Jobes, SVP Solutions, Norwood

Breaking CMS news to report… the revised MSSP results are out. The impact? $40.4M in additional shared savings. 77% of organizations saw an INCREASE in their shared savings. My lingering question is … are these results the final ones?

And are they accurate?

In August CMS released MSSP results. A handful of industry leaders were caught by surprise because it was earlier than normal. Lo and behold there was a mistake that was found. CMS left the results up but alerted the industry that there was an error and the results would be restated.

These initial (flawed) numbers showed that overall, 63% of ACOs saw a decrease in their risk score from 2023 to 2024.

Earlier this week those results were released with little acknowledgement, and the results were flip-flopped. I find it mind blowing that 367 of the 476 organizations saw an increase in their shared savings payments.

• 3 of those organizations saw a total of $5.2M in increased payments.
• 8 organizations saw an adverse payment impact, the largest being a $15k impact.

I will be diving deeper into results in the coming days. However, I am not convinced that these are the final numbers. An industry colleague of mine said just last week a vendor noticed what may be additional mistakes made by CMS.

How confident in you about your results? I would love to talk to organizations in MSSP to learn more about your approach, successes, and struggles.

Contact me at jason@norwood.com.

Reference

CMS, MSSP Performance Year Financial and Quality Results: https://data.cms.gov/medicare-shared-savings-program/performance-year-financial-and-quality-results