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Increased Flexibility and Decreased Liability: How ACO Track 1+ is Different

Track 1+ is open to ACOs currently participating in Track 1 or new ACOs, but not Track 2 or 3 participants. By lowering the loss-sharing rate and providing more flexibility, CMS is hoping to attract physician-only groups and rural hospitals. The following is a list outlining details of the new program:

  • Loss sharing rate fixed at 30 percent
    • This percentage is based upon ACO composition
    • Physicians-only and rural hospitals may have lower levels of risk
  • Skilled nursing facility option
    • Option to request 3-Day Rule Waiver
  • Prospective beneficiary assignment
    • Allows ACO to know assigned populations in advance
  • Shared savings of up to 50 percent

Symmetrical thresholds that are available under Tracks 2 and 3

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