CMS Pathways to Success is a new five-year program designed to bring greater value to patients while rewarding participating providers.
Effective January 1, 2020, the CMS Pathways to Success program will replace the former MSSP program and introduce a risk acceptance glide path to further encourage the delivery of high value and quality care to Medicare beneficiaries.
The program includes a five-year participation period where the shared savings upside opportunity remains fixed at a maximum of 10% of the ACO’s annual expenditures during years one through five. There is no downside risk for the first year. Downside risk begins in year two, limited to 1% of the ACOs annual expenditures. In year three, the downside risk increases to 2% followed by 4% in years four and five. Participants can make annual decisions to continue with the program.
ACO Information
Wellstar Clinical Partners Medicare ACO, LLC
793 Sawyer Road
Marietta, GA 30062
Barbara Corey ACO Executive
Alan Muster, MD Medical Director
Roshunda Drummond-Dye Compliance Officer
Stephanie Lamar Quality Assurance/Improvement Officer
Partnerships or joint venture arrangements between hospitals and ACO professionals.
First Agreement Period
• Performance Year 2020: $6,987,217
Second Agreement Period
• Performance Year 2021: $8,324,256
Third Agreement Period
• Performance Year 2022: $6,346,514
First Agreement Period
Performance Year 2020
Second Agreement Period
Performance Year 2021
Third Agreement Period
Performance Year 2022
Quality performance results are based on CMS Web Interface.
For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov.
Clinically-integrated leadership in your community
Analytics and data-driven support for the success of your practice
Participation in other payor agreements and care strategies
Gain advantages from shared ACO MIPs scoring and strategic exemptions