Accountable Care Organizations (ACOs) in the Medicare Shared Savings Program (MSSP) have a special, limited opportunity to innovate. Waivers exempting MSSP ACOs from certain legal requirements and other benefits enable MSSP ACOs to experiment within certain limits. The Medicare Shared Savings Program requires 33 measure that must be self-reported by the ACO to CMS. After a limited period, self-reporting will not be allowed and third parties will be required to perform reporting.
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