www.cms.gov Open in urlscan Pro
2a02:26f0:3100:791::28a  Public Scan

Submitted URL: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram
Effective URL: https://www.cms.gov/medicare/payment/fee-for-service-providers/shared-savings-program-ssp-acos
Submission: On April 10 via api from US — Scanned from DE

Form analysis 2 forms found in the DOM

GET /search/cms

<form region="cms_header_secondary" action="/search/cms" method="get" id="search-block-form" accept-charset="UTF-8">
  <div class="js-form-item form-item js-form-type-search form-item-keys js-form-item-keys form-no-label">
    <label for="edit-keys" class="ds-c-label visually-hidden">Search</label>
    <label class="ds-u-visibility--screen-reader" for="header-search-input">Search</label>
    <input title="Enter the terms you wish to search for." data-drupal-selector="edit-keys" class="form-autocomplete form-search ds-c-field ds-u-lg-display--none ui-autocomplete-input" data-autocomplete-path="/suggestion/autocomplete"
      data-region="cms_header_secondary" data-twig-suggestion="cms_header_secondary--search-form-block" type="search" id="header-search-input" name="keys" value="" maxlength="128" placeholder="Search for keywords, topics or resources"
      autocomplete="off" data-once="autocomplete placeholder">
    <button class="cms-clear-button ds-u-display--none" type="button" aria-controls="header-search-input hidden-header-list-wrapper" aria-label="Clear Search Terms"><i class="fal fa-times"></i></button>
    <div class="cms-popular-search-terms ds-u-display--block ds-u-lg-display--none" id="hidden-header-list-wrapper">
      <span id="list-header" class="cms-list-header">Popular terms</span>
      <ul aria-labelledby="list-header">
        <li><span class="term">Physician Fee Schedule</span><i class="far fa-long-arrow-right" focusable="false"></i></li>
        <li><span class="term">Local Coverage Determination</span><i class="far fa-long-arrow-right" focusable="false"></i></li>
        <li><span class="term">Medically Unlikely Edits</span><i class="far fa-long-arrow-right" focusable="false"></i></li>
        <li><span class="term">Telehealth</span><i class="far fa-long-arrow-right" focusable="false"></i></li>
        <li><span class="term">Covid-19</span><i class="far fa-long-arrow-right" focusable="false"></i></li>
      </ul>
    </div>
  </div>
  <div data-drupal-selector="edit-actions" class="form-actions js-form-wrapper form-wrapper" id="edit-actions--AgK2kX1B_yQ">
    <div class="header-search-bar">
      <input data-drupal-selector="edit-submit" data-twig-suggestion="cms_header_secondary--search-submit" type="submit" id="edit-submit--x7bJHCe-jUY" value="Search" class="button js-form-submit form-submit ds-c-button ds-c-button--solid"
        aria-controls="header-search-input" role="button" data-once="searchMatch" aria-expanded="false">
      <i class="fas fa-search" focusable="false"></i>
    </div>
  </div>
</form>

POST https://public.govdelivery.com/accounts/USCMS/subscribers/qualify

<form aria-label="Enter your email address for email updates" accept-charset="UTF-8" action="https://public.govdelivery.com/accounts/USCMS/subscribers/qualify" id="email-footer-form" method="post"
  data-drupal-form-fields="email-footer-input,email-submit">
  <div class="ds-u-display--flex" id="email-form">
    <div class="ds-u-display--flex ds-u-flex-direction--column flex-grow">
      <label for="email" class="ds-u-font-weight--bold ds-u-margin-bottom--1 ds-u-margin-top--3">Email</label>
      <input required="required" aria-label="Enter your email address:" name="email" type="text" placeholder="you@example.com" class="ds-c-field ds-u-margin-bottom--05">
    </div>
    <div class="submit-button ds-u-margin-top--2">
      <label id="email-submit-label" for="email-footer-submit" class="ds-u-visibility--screen-reader">Sign up - opens in a new window</label>
      <button id="email-submit" aria-labelledby="email-submit-label" class="ds-c-button ds-c-button--solid cms--external-button" name="email-footer-submit" type="submit" value="Sign up" data-once="signUpMatch">Sign up</button>
    </div>
  </div>
</form>

Text Content

Skip to main content

An official website of the United States government

Here's how you know

Here's how you know

Official websites use .gov
A .gov website belongs to an official government organization in the United
States.

Secure .gov websites use HTTPS
A lock ( ) or https:// means you've safely connected to the .gov website. Share
sensitive information only on official, secure websites.

Centers for Medicare & Medicaid Services


CMS NEWSROOM

Header
 * About CMS
 * Newsroom
 * Data & Research


SEARCH CMS.GOV

Search Search
Popular terms
 * Physician Fee Schedule
 * Local Coverage Determination
 * Medically Unlikely Edits
 * Telehealth
 * Covid-19




CMS.GOV MAIN MENU

 * Medicare
   Back to main menu
   
   
   MEDICARE
   
    * Enrollment & renewal
      Back to menu
      
      
      ENROLLMENT & RENEWAL
      
       * Annual Medicare Participation Announcement
       * Providers & suppliers
       * Medicare-Medicaid information
       * Medicare Managed Care Eligibility and Enrollment
       * Part D plans
       * Health plans
       * Health Care Prepayment Plans (HCPPs)
       * Cost plans
       * Special needs plans
   
    * Coverage
      Back to menu
      
      
      COVERAGE
      
       * Coverage Determination Process
       * Medicare Coverage Database
       * Approved facilities, trials, & registries
       * Telehealth
       * Medicare Summary Notice
       * Prescription drug coverage contracting
       * Coverage with evidence development
       * Investigational device exemption studies
       * Prescription drug coverage
       * Drug coverage claims data
       * Dental coverage
       * Preventive Services
       * Medicare Coverage Center
       * End Stage Renal Disease (ESRD) Center
       * Ambulances Services Center
   
    * Regulations & guidance
      Back to menu
      
      
      REGULATIONS & GUIDANCE
      
       * Manuals
       * Transmittals
       * CMS Records Schedule
       * Medicare Fee-for-Service payment regulations
       * National Provider Identifier Standard (NPI)
       * Advisory committees
       * Legislation
       * Promoting Interoperability Programs
       * CMS rulemaking
       * CMS Hearing Officer
       * Office of the Attorney Advisor (OAA)
       * Provider Reimbursement Review Board (PRRB)
       * Medicare Geographic Classification Review Board (MGCRB)
       * Physician Self-Referral
       * Quarterly provider updates
       * E-Prescribing
   
    * Coding & billing
      Back to menu
      
      
      CODING & BILLING
      
       * Place of service codes
       * ICD-10 codes
       * Healthcare Common Procedure Coding System (HCPCS)
       * Outpatient Code Editor (OCE)
       * National Correct Coding Initiative (NCCI) edits
       * NCCI for Medicaid
       * Electronic billing
       * Medicare Administrative Contractors (MACs)
       * Provider Customer Service Program
       * Skilled Nursing Facility (SNF) consolidated billing
       * Roster billing
       * Therapy services
       * Medicare claims & public health emergencies
       * Guide for Medical Technology Companies and Other Interested Parties
   
    * Payment
      Back to menu
      
      
      PAYMENT
      
       * Medicare Part B Drug Average Sales Price
       * All Fee-For-Service-Providers
       * Fee schedules
       * Prospective Payment Systems
       * Opioid Treatment Programs (OTP)
       * Covid-19 Vaccine Toolkit
       * Bankruptcy
       * Sustainable Growth Rates & Conversion Factors
       * Medicare Advantage Rates & Statistics
       * Health plan payment
   
    * Medicare-Medicaid coordination
      Back to menu
      
      
      MEDICARE-MEDICAID COORDINATION
      
       * Medicare-Medicaid Coordination Office
       * Qualified Medicare beneficiary program
       * Financial alignment initiative
       * Initiative to reduce avoidable hospitalizations
       * Program of All-Inclusive Care for the Elderly (PACE)
       * Resources for Medicare-Medicaid plans
       * Resources for state Medicaid agencies
       * Center for Program Integrity
       * Healthcare Fraud Prevention Partnership
       * Clinical Templates
   
    * Appeals & grievances
      Back to menu
      
      
      APPEALS & GRIEVANCES
      
       * Original Medicare appeals
       * Managed Care appeals & grievances
       * Prescription drug appeals & grievances
       * Ombudsman Center
       * Appeals Decision Search (Part C & Part D)
   
    * Quality
      Back to menu
      
      
      QUALITY
      
       * Value-based programs
       * Person & Family Engagement
       * Quality improvement organizations
       * Nursing home quality improvement
       * Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP)
       * Home Health Quality Reporting Program
       * ESRD Quality Incentive Program
       * CMS National Quality Strategy
       * Hospice Quality Reporting Program
       * Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP)
       * Appropriate Use Criteria Program
       * Quality measures
       * Clinical Laboratory Improvement Amendments (CLIA)
       * Medicare Advantage quality improvement program
       * Physician compare initiative
       * Quality initiatives
       * Part C and D Performance Data
       * Skilled Nursing Facility (SNF) Quality Reporting Program (QRP)
   
    * Health & safety standards
      Back to menu
      
      
      HEALTH & SAFETY STANDARDS
      
       * Quality, safety & oversight - General information
       * Accreditation programs
       * Civil monetary penalties
       * Medicare termination notices
       * Quality, safety & oversight - Emergency preparedness
       * State survey agencies
       * Certification & compliance
       * Enforcement
       * Quality, safety & oversight - Guidance for laws & regulations
       * Promising practices project
       * Quality, safety & oversight - Education division (QSED)
       * Conditions for coverage & participation
   
    * Employers & plan sponsors
      Back to menu
      
      
      EMPLOYERS & PLAN SPONSORS
      
       * Creditable coverage
   
    * Innovation Center
      Back to menu
      
      
      INNOVATION CENTER
      
       * Overview
   
    * Audits & Compliance
      Back to menu
      
      
      AUDITS & COMPLIANCE
      
       * Part A cost report audit
       * Part C/Part D compliance & audits
   
    * Forms & notices
      Back to menu
      
      
      FORMS & NOTICES
      
       * CMS forms
       * CMS forms list
       * Beneficiary Notices Initiative (BNI)
   
    * Health & drug plans
      Back to menu
      
      
      HEALTH & DRUG PLANS
      
       * Plan payment
       * Plan payment data
       * Medical loss ratio
       * Coverage Gap Discount Program
       * Managed care marketing
       * Medicare Advantage application
       * Medigap (Medicare supplement health insurance)
       * Medical Savings Account (MSA)
       * Private Fee-for-Service Plans
       * Network adequacy
   
    * Coordination of benefits & recovery
      Back to menu
      
      
      COORDINATION OF BENEFITS & RECOVERY
      
       * Overview
       * Mandatory Insurer Reporting for Group Health Plans (GHP)
       * Mandatory insurer reporting (NGHP)
       * Workers' comp Medicare set aside arrangements
       * Attorney services
       * Beneficiary services
       * COBA Trading Partners
       * Employer services
       * Insurer services
       * Prescription drug assistance programs
       * Provider services
   
    * Settlements
      Back to menu
      
      
      SETTLEMENTS
      
       * Jimmo Settlement
       * Ryan Settlement
   
   Close this menu
 * Medicaid/CHIP
   Back to main menu
   
   
   MEDICAID/CHIP
   
    * What is Medicaid?
      Back to menu
      
      
      WHAT IS MEDICAID?
      
       * Visit Medicaid.gov
       * View Medicaid maps
       * Visit CHIP.gov
   
    * Medicare-Medicaid Coordination
      Back to menu
      
      
      MEDICARE-MEDICAID COORDINATION
      
       * Integrated care resources
       * Initiative to reduce avoidable hospitalizations
       * Financial alignment initiative
       * Medicaid Integrity Institute
   
    * Regulations & guidance
      Back to menu
      
      
      REGULATIONS & GUIDANCE
      
       * Manuals
       * Transmittals
       * CMS Records Schedule
       * Medicare Fee-for-Service payment regulations
       * National Provider Identifier Standard (NPI)
       * Advisory committees
       * Legislation
       * Promoting Interoperability Programs
       * CMS rulemaking
       * CMS Hearing Officer
       * Office of the Attorney Advisor (OAA)
       * Provider Reimbursement Review Board (PRRB)
       * Medicare Geographic Classification Review Board (MGCRB)
       * Physician Self-Referral
       * Quarterly provider updates
       * E-Prescribing
   
    * Innovation Center
      Back to menu
      
      
      INNOVATION CENTER
      
       * Overview
   
   Close this menu
 * Marketplace & Private Insurance
   Back to main menu
   
   
   MARKETPLACE & PRIVATE INSURANCE
   
    * About the Marketplace
      Back to menu
      
      
      ABOUT THE MARKETPLACE
      
       * Marketplace oversight
       * Affordable Care Act
       * Overview of the exchanges
       * Exchange coverage maps
       * Medicare and the Marketplace
   
    * Private Health Insurance
      Back to menu
      
      
      PRIVATE HEALTH INSURANCE
      
       * Patient’s Bill of Rights
       * Medical loss ratio
       * Annual limits
       * Review of insurance rates
       * Market rating
       * Self-funded, non-federal governmental plans
       * Grandfathered plans
       * Health Reimbursement Arrangements
       * Coverage for young adults
       * Student health plans
       * Mental health parity and addiction equity
       * Prevention
       * Consumer protections & enforcement
       * Pre-existing condition insurance plan
       * Qualifying Health Coverage (QHC)
   
    * Regulations & guidance
      Back to menu
      
      
      REGULATIONS & GUIDANCE
      
       * CCIIO Regulations & Guidance
       * Manuals
       * Transmittals
       * CMS Records Schedule
       * Medicare Fee-for-Service payment regulations
       * National Provider Identifier Standard (NPI)
       * Advisory committees
       * Legislation
       * Promoting Interoperability Programs
       * CMS rulemaking
       * CMS Hearing Officer
       * Office of the Attorney Advisor (OAA)
       * Provider Reimbursement Review Board (PRRB)
       * Medicare Geographic Classification Review Board (MGCRB)
       * Physician Self-Referral
       * Quarterly provider updates
       * E-Prescribing
   
    * In-person assisters
      Back to menu
      
      
      IN-PERSON ASSISTERS
      
       * Information for Partners
       * Assister outreach & education
       * Applications, forms, & notices
       * Assister programs & procedures
       * Assister technical resources
       * Assister training & webinars
   
    * Agents & Brokers
      Back to menu
      
      
      AGENTS & BROKERS
      
       * Resources for Agent & Brokers
       * Registration & training
       * Open enrollment
       * Direct enrollment partners
       * General resources
       * Video Learning Center
       * Agent & Broker FAQ
       * Marketplace help desk & call centers
       * Registration Completion List
       * Marketplace Registration Tracker
       * AB Suspension & Termination List
       * Find local help
       * Issuer and direct enrollment partner directory
       * Help on demand
       * SHOP Resources
   
    * Health Plans & Issuers
      Back to menu
      
      
      HEALTH PLANS & ISSUERS
      
       * Qualified health plan certification
       * Summary of benefits & coverage
       * Insurance programs
       * Premium stabilization programs
       * Health insurance market reforms
       * Minimum essential coverage
   
    * Employers & sponsors
      Back to menu
      
      
      EMPLOYERS & SPONSORS
      
       * Coverage
       * Regulation & guidance
       * Small business tax credit & premium assistance
       * Appeals
       * Small Business Health Options Program (SHOP)
       * Early retiree reinsurance program
       * Employer initiatives
   
    * States
      Back to menu
      
      
      STATES
      
       * Planning & establishing a Marketplace
       * Territory cooperative agreements
       * Early innovator program
       * State flexibility to stabilize the Market
       * Section 1332 (State Innovation) Waiver
       * Exchange establishment grants
       * Pre-existing condition insurance plan
   
    * Resources
      Back to menu
      
      
      RESOURCES
      
       * About Us
       * Data resources
       * Fact sheets & FAQs
       * Forms, reports, & other resources
       * Funding opportunities
       * Letters
       * Regulations & Guidance
       * Training resources
   
   Close this menu
 * Priorities
   Back to main menu
   
   
   PRIORITIES
   
    * Innovation Center
      Back to menu
      
      
      INNOVATION CENTER
      
       * Overview
       * About
       * Key Concepts
       * Value-Based Care Spotlight
       * Innovation Models
       * Where Innovation is Happening
       * Events
       * Data & Reports
   
    * Health Equity
      Back to menu
      
      
      HEALTH EQUITY
      
       * Coverage to Care
       * Minority health
       * Cobertura de atención
       * Grants & awards
   
    * Recent Legislation
      Back to menu
      
      
      RECENT LEGISLATION
      
       * Inflation Reduction Act and Medicare
       * No Surprises Act
   
    * Key Initiatives
      Back to menu
      
      
      KEY INITIATIVES
      
       * Opioids
       * Flu
       * Medicare Open Enrollment
       * Medicare OE partner resources
       * Marketplace Open Enrollment
       * E-health
       * Open Payments
       * Burden reduction
       * Returning to regular operations after COVID-19
       * Healthplan price transparency
       * Hospital price transparency
       * Lookup tools
       * Measure development
       * Give feedback
   
    * Your Patient Rights
      Back to menu
      
      
      YOUR PATIENT RIGHTS
      
       * Emergency room rights
       * Medical bill rights
   
   Close this menu
 * Training & Education
   Back to main menu
   
   
   TRAINING & EDUCATION
   
    * CMS National Training Program
      Back to menu
      
      
      CMS NATIONAL TRAINING PROGRAM
      
       * National Training Program resources
       * Class modules
   
    * Partner outreach resources
      Back to menu
      
      
      PARTNER OUTREACH RESOURCES
      
       * Partner with CMS
       * National Medicare Education Program (NMEP)
       * Low-Income Subsidy (LIS) outreach
       * Become a champion for coverage
       * Flu Vaccine Partner Toolkit
       * Faith-Based Partners
       * Rural Health Partners
       * American Indian/Alaska Native
       * Partnering with CMS Center
   
    * Medicare Learning Network (MLN)
      Back to menu
      
      
      MEDICARE LEARNING NETWORK (MLN)
      
       * Resources & training
       * Newsletter
       * Compliance
       * Partnerships
   
    * CMS Open Door Forums
      Back to menu
      
      
      CMS OPEN DOOR FORUMS
      
       * About Open Door Forums
       * Ambulance
       * End-Stage Renal Disease (ESRD) & Clinical Laboratories
       * Home Health, Hospice & Durable Medical Equipment (DME)
       * Hospital
       * Long-Term Services & Supports
       * Physicians, Nurses and Allied Health Professionals
       * Rural Health
       * Skilled Nursing Facilities (SNFs)/Long-Term Care
       * Special Open Door forums
   
    * Look up topics
      Back to menu
      
      
      LOOK UP TOPICS
      
       * Medicare
       * Medicaid
       * CHIP
       * American Indian/Alaska Native Center
       * Quality of care
       * Special populations
       * Fraud & abuse
       * States
       * Privacy
       * Health conditions & campaigns
       * New Medicare Card
       * HIPAA Administrative Simplification
   
    * Learn More
      Back to menu
      
      
      LEARN MORE
      
       * Attend events
       * Find resources
       * Get training
       * Find tools to help you help others
       * Get digital media
   
    * Find your provider type
      Back to menu
      
      
      FIND YOUR PROVIDER TYPE
      
       * Physicians & other health professionals
       * Facilities
       * Health & drug plans
       * Employers & unions
   
   Close this menu


BREADCRUMB

 * 
 * Medicare
 * Payment
 * All Fee-For-Service-Providers
 * Shared Savings Program / ACOs
 * For Providers


SHARED SAVINGS PROGRAM





PAGES IN THIS SECTION

 * * * All Fee-For-Service-Providers
     * * Home Health Agency (HHA) Center
       * Shared Savings Program / ACOs
       * * Application Toolkit
         * Application Types & Timeline
         * About the Program
         * Contact Information
         * For ACOs
         * For Providers
         * In the News
         * Program Data
         * Program Guidance & Specifications
         * Program Statutes & Regulations
       * Hospital-Acquired Conditions (HAC)
       * Physician bonuses in Health Professional Shortage Areas (HPSAs)
       * Medicare Fee-for-Service 5010 - D0
       * Competitive acquisition

Shared Savings Program

 

 

The Medicare Shared Savings Program (Shared Savings Program) promotes
accountability for a patient population, improves the coordination of items and
services for Medicare fee-for-service (FFS) beneficiaries, and encourages
investment in high-quality and efficient services. 

The Shared Savings Program offers providers and suppliers an opportunity to
create or join an Accountable Care Organization (ACO). ACOs are groups of
doctors, hospitals, and other health care professionals that work together to
give patients high-quality, coordinated service and health care, improve health
outcomes, and manage costs. ACOs agree to be held accountable for the quality,
cost, and experience of care of an assigned Medicare FFS beneficiary population.
 

Under the Shared Savings Program, providers and suppliers that participate in an
ACO continue to receive traditional Medicare FFS payments under Parts A and B.
When an ACO succeeds in both delivering high-quality care and spending health
care dollars more wisely, the ACO may be eligible to share in the savings it
achieves for the Medicare program, or some instances may owe losses if it
increases cost. The Shared Savings Program has different participation options
(tracks) that allow ACOs to select an arrangement that makes the most sense for
their organization.
 

 Learn More About the Program >


PROGRAM UPDATES 


IN THE NEWS 

Find recent press releases about the program.

 * 1/29/2024 Press Release: Participation Continues to Grow in CMS’ Accountable
   Care Organization Initiatives in 2024
 * 11/2/2023 Press Release: CMS Finalizes Physician Payment Rule that Advances
   Health Equity
   * Shared Savings Program Fact Sheet: Calendar Year (CY) 2024 Medicare
     Physician Fee Schedule Final Rule – Medicare Shared Savings Program Fact
     Sheet
   * 2024 QPP Final Rule Fact Sheet and Policy Comparison Table (PDF)
   * Physician Fee Schedule (PFS) Fact Sheet: Calendar Year (CY) 2024 Medicare
     Physician Fee Schedule Final Rule
   * Final Rule: CY 2024 PFS Final Rule 
 * 8/24/2023 Press Release: Medicare Shared Savings Program Saves Medicare More
   Than $1.8 Billion in 2022 and Continues to Deliver High-quality Care 
   * To view the complete performance results, refer to the Performance Year
     Financial and Quality Results Public Use File (PUF) on Data.CMS.gov.

Find all news >


PROGRAM RESOURCES 


APPLICATION INFORMATION

Find information about the Shared Savings Program application process. Learn
more >


PROGRAM GUIDANCE & SPECIFICATIONS

Find guidance and specification documents relevant to program participation,
quality reporting, data and report sharing, beneficiary information, and
financial and assignment methodology. Learn more >


PROGRAM DATA 

Find publicly available datasets related to ACO participation and
performance. Learn more >


PROGRAM STATUTES & REGULATIONS 

Find final rules, program statutes, and other regulatory documents for the
Shared Savings Program. Learn more >


CONTACT INFORMATION 

Find contact information to use for Shared Savings Program inquiries.  

 


Page Last Modified:
04/01/2024 01:39 PM
Help with File Formats and Plug-Ins


GET EMAIL UPDATES

Sign up to get the latest information about your choice of CMS topics. You can
decide how often to receive updates.

Email
Sign up - opens in a new window Sign up
CMS & HHS Websites CMS & HHS Websites
 * Medicare.gov
 * Medicaid.gov
 * InsureKidsNow.gov
 * HealthCare.gov
 * HHS.gov
 * HHS.gov/Open

About CMS About CMS
 * About Us
 * Careers
 * Newsroom
 * Blog
 * Podcast

Tools Tools
 * Acronyms
 * Archive
 * Contacts
 * Glossary

Helpful Links Helpful Links
 * Privacy Policy
 * Plain Language
 * Privacy Settings Privacy Settings
 * Nondiscrimination & Accessibility
 * Developer Information
 * Vulnerability Disclosure Policy

USA Government Sites USA Government Sites
 * Freedom of Information Act
 * No Fear Act
 * Inspector General
 * USA.gov


CONNECT WITH CMS

 * Linkedin link
 * Youtube link
 * Facebook link
 * Twitter link
 * RSS Feed link

A federal government website managed and paid for by the U.S. Centers for
Medicare & Medicaid Services.

7500 Security Boulevard, Baltimore, MD 21244





Feedback