MSSP vs ACO REACH: A Comparison of Standards and Goals

Medvisioninc18 Jul, 2024Health

In the hopes of improving quality and lowering overall healthcare costs, the Centers for Medicare and Medicaid Services (CMS) designs the MSSP to test a new approach to Medicare payment. The idea of the MSSP is that provider groups, or ACOs, must receive rewards when they keep spending under a set limit and penalize them when they exceed it. It?s a different way of paying providers than what many know, as organizations are moving away from the fee-for-service arrangement. Now, each physician gets a flat rate per patient, and they have to work together with other providers in the network to keep their patients healthy and reduce costs. This way, patients can have the care they need and providers can earn the right payment for the work they do.