Issues

Advocating for Program Predictability

In years past, CMS has applied mid-year and late-year programmatic changes that disrupt NGACO financial performance and erode long-term stability.

Removing “Double Jeopardy” Coding Adjustments

CMS is applying both a “coding intensity adjustment” and an overall three percent risk adjustment cap.  This policy harms NGACOs, particularly those with sicker patients.

Protect and Evolve the Program

Protect and evolve the NGACO program, including advancing a blended attribution and voluntary enrollment model; empower providers and consumers with flexibility in clinical model and network design; and foster increased consumer engagement in the model.