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Factors affecting Accountable Care Organizations’ decisions to remain in or exit the Medicare Shared Savings Program following Pathways to Success

Health Affairs Scholar

January 5, 2024

The Medicare Shared Savings Program (MSSP) is an alternative payment model (APM) launched in 2012, creating Accountable Care Organizations (ACOs) aimed at improving quality and lower costs for traditional fee-for-service Medicare beneficiaries.1 Participation in the program is voluntary, and entrants historically could select from 1 of 4 unique tracks with varying levels of financial risk and reward.

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