Medicare Shared Savings Program: Responding to the Proposed Rule

May 13, 2011

Mark McClellan, MD, PhDDirector, Engelberg Center for Health Care Reform

The Brookings Institution

2

The Medicare Shared Savings Proposed Rule

Proposed rule

Refinement of Regulatory ApproachRefinement of Implementation Strategy

Proposed Rule is First Step – Much More to Come

Comments—and current implementation activities—will be crucial to making recommendations to CMS and advancing ACOs.

Brookings and Dartmouth are leading over 120 organizations through the ACO implementation process with webinars, peer-learning workshops, newsletters, and online resources (www.ACOLearningNetwork.org)

Secretary Sebelius and Jonathan Blum are keynoting the Brookings-Dartmouth sponsored 2nd National ACO Summit on June 27th & 28th focusing on ACO core competencies, advanced payment methods, performance measurement and more (www.ACOSummit.com)

The ACO Toolkit is a comprehensive implementation guide with 6 in-depth sections written by over 20 experts on core ACO design features (http://www.acolearningnetwork.org/resources/aco-toolkit)

Brookings-sponsored ACO learning resources

A Framework for Ramping Up Successful ACOs

Levels of ACO Readiness

Goals & milestones for each level?

Maximizing Benefits of becoming an ACO (shared savings)

Minimizing the Costs of becoming an ACO (start-up & operating costs, shared losses)

Quality Measurement

HIT implementation

Data Sharing

Leveraging Existing Initiatives

Others

4

5

Five Key Areas for Consideration

1. Supporting ACOs by Maximizing the Benefits & Minimizing the Costs of Improving Care

2. Leveraging Existing Initiatives

3. Optimizing Assignment, Notification, and Data-Sharing to Support ACOs in Providing Patient-Centered Care

4. Building a Pathway to Improving Quality

5. Other Areas for Consideration & Recommendations