Shared Savings / Loss

In the past 30 days, the CMS has initiated conversations surrounding the implementation of the Medicare Ambulatory Specialty Model, which aims to reshape payment structures for specialty care providers amidst ongoing concerns about sustainability and compensation fairness. Stakeholders, including organizations like the Western New York Health System, are proactively preparing for these changes, highlighting the critical need for effective strategies to manage financial risks associated with this transition to a value-based care paradigm. As the landscape evolves under the current administration, the focus on shared savings and losses is evident, presenting both opportunities and challenges for accountable care organizations (ACOs) and other providers involved in population health management. For further insights, see Modern Healthcare and Business Wire.