Assessing Financial Performances in the Medicare Shared Savings Program: Past, Present, and Future

Public Deposited
Analytics

Downloadable Content

Download PDF
Request Version for Screen Reader
Last Modified
  • February 27, 2019
Creator
  • Petralia, Jacob
    • Affiliation: Gillings School of Global Public Health, Department of Health Policy and Management
Abstract
  • With over 400 participants to date, the Medicare Shared Savings Program (MSSP) is a popular option for many Accountable Care Organizations (ACOs) that seek incentives to reduce expenditures and improve the quality of the care that they deliver. However, there is much uncertainty as to whether ACOs will be able to reduce expenditures sufficiently to experience the rewards associated with the MSSP, continue reducing expenditures so that rewards can be maximized, and prevent increases in expenditures that could otherwise lead to penalties in the future. The objective of this study was to investigate these uncertainties by an evaluation of MSSP participants currently in their first three-year contracts over the range of several time periods: the years prior to, the years during, and the future years of the MSSP. I found that, on average, ACOs should expect to experience a reduction in per capita costs relative to projections made based on the years preceding MSSP participation. Further, they should expect that continuing to reduce expenditures will be a significant challenge. Ultimately, it is projected that about two-thirds of current participants will remain in the MSSP throughout the duration of their second contract period, with approximately one-third dropping out due to the high likelihood of being penalized.
Date of publication
Keyword
DOI
Resource type
Rights statement
  • In Copyright
Advisor
  • Weinberger, Morris
  • Song, Paula
Degree
  • Master of Science in Public Health
Degree granting institution
  • University of North Carolina at Chapel Hill
Graduation year
  • 2016
Language
Deposit record
  • bc5c29c6-066d-49ba-9958-902b9342f22d

Relations

Parents:

This work has no parents.

Items

Thumbnail Title Date Uploaded Visibility Actions
file details Thesis_Final Draft_Jake Petralia.pdf 2019-04-26 Public Download