Talk about down to the wire! On June 3, 2020, CMS finally decided to extend NextGen ACOs for another year. While the program was originally supposed to sunset at the end of 2020, CMS is providing some wiggle room to account for the impact of COVID-19. Given the recent significant increase in Coronavirus cases in Texas, California, and of course my home state of Florida…it looks like COVID-19 may be around longer than many people had originally hoped. Without a crystal ball, there are still a lot of unanswered questions as to the impact of the pandemic on ACOs, Next Gen ACOs, and Direct Contracting; however, we can make a few educated guesses as to what may happen.