Here are five changes that CMS outlined in a June 3 chart. Some have been previously announced.
1. Next Generation ACO
Financial methodology changes: CMS is reducing downside risk by lowering shared losses by proportion of months during the public health emergency. The agency is capping gross savings upside potential for Next Generation ACOs at 5 percent. Episodes of care that include treatment for COVID-19 will be removed, and a retrospective regional trend will be used for 2020, rather than a prospective methodology. Additionally, the 2020 financial guarantee requirement will be removed.
Changes will be made to quality reporting requirements. CMS previously extended the web interface quality measure reporting deadline from March 31 to April 30, and is canceling the 2019 quality audit. It is also continuing to monitor the effect on 2020 quality reporting.
The model will be extended through December 2021.