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MILLIMAN ACO BUILDER

Annual renewal considerations in the Medicare Shared Savings Program (MSSP)

7 April 2025

It can be difficult for accountable care organizations (ACOs) to annually analyze their participation options for future performance years. What are the decisions ACOs in the Medicare Shared Savings Program (MSSP) need to make? How can ACOs maximize savings through participation decisions? In this case study, we show how Milliman’s ACO Builder can help MSSP ACOs develop data-driven strategies to measure the impact of various participation options available to them annually. We cover the following in our discussion:

  • Beneficiary assignment methodology
  • Early renewal
  • Track selection
  • Risk score model phase-in

Chris Smith

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