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The ACO “Track One+” Model: New Rewards for Risk


Executive Summary - May 2017

The ACO “Track One+” Model: New Rewards for Risk
Neal D. Shah (Polsinelli PC, Chicago IL)

The most common Accountable Care Organization (ACO) model is the Track 1 “upside only” model that allows bonuses with no risk of losses. But “shared risk” models may become less popular in future years. The Medicare Access and CHIP Reauthorization Act creates significant potential bonuses for ACOs that move to shared risk, while the Centers for Medicare & Medicaid Services now caps the number of years an ACO can participate in Track 1. This Executive Summary summarizes the Medicare Shared Savings Program Track 1+–a new model specifically created to help providers in Track 1 ACOs transition to shared risk. The initial filings for this model are due May 31, with more detailed application materials to follow. This Executive Summary is designed to help counsel to provider organizations understand the basics of the new Track 1+ model, its relationship to existing ACO models, and operational and legal considerations as providers move forward to participate in this model.

We would like to thank the author for sharing his expertise with his colleagues.​​

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