News Release
July 10, 2024 

NAACOS Statement on Proposed
2025 Medicare Physician Fee Schedule

“The National Association of ACOs appreciates CMS’s continued work to ensure ACOs are held harmless for significant anomalous and highly suspect billing activity, establishing long-term policies that creates certainty for ACOs. We also are pleased that CMS continues to evolve the Medicare Shared Savings Program by reducing burden associated with beneficiary notifications, providing prepaid savings for historically successful ACOs, adding an upward benchmark adjustment for ACOs serving rural and underserved communities, establishing advanced primary codes that can be billed by ACOs, and continuing to develop a higher risk and reward track within the model.

“Despite these positive changes, we remain concerned that CMS has yet to address significant issues that will cause providers to leave the Shared Savings Program. In the next two years, a majority of ACOs will enter new agreements and have their benchmarks ratcheted down, ultimately being penalized for past strong performance. Additionally, the change in quality reporting options and requiring reporting on beneficiaries outside of the ACO, will cause ACOs and their providers to make significant investments in technology that will not result in useful quality data. These looming crises deter clinicians from participating in ACOs and hamper progress towards CMS’ goal of all payments in an accountable care relationship by 2030.”

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Contact:

David Pittman
Director, Communications and Regulatory Affairs
202-640-2689 or [email protected]