MSSP Benchmarking Framework
We have developed an interactive flowchart and video series as resources for ACO teams that want an overview of the MSSP financial methodology, a deeper dive into the calculations, and a summary of FY24 rule changes and their implications.
Video Series
From Complexity to Clarity: Demystifying MSSP Financial Calculations
Video 1: Introduction
Video 2: The MSSP Benchmark
Video 3: Regional Adjustment
Video 4: Benchmark Update
Video 5: National-Regional Blend
Video 6: Reconciliation
Video 7: New Rule – Savings Addback
Video 8: New Rule – Administrative Trend
Video 9: New Rule – HCC Cap
Video 10: Summary of Updates – CY 2024 PFS proposed rules (released on 7/13/23) – coming soon
Interactive Flowchart: MSSP Financial Methodology
Have more questions?
Reach out to us at analytics@institute4ac.org or Schedule a Call today.
Sources
- For current methodology: Shared Savings & Losses, Assignment & Quality Performance, Standard Methodology – Specifications. Jan 2023 Version 11 . Retrieved from CMS’ MSSP Program Guidance & Specifications page.
- For new 2024 rules: the CY 2023 PFS proposed rules issued on 7/7/22 are used. This link and accompanying documents can be found on CMS’ MSSP Program Statutes & Regulations page.