| Shared Upside Rate | Performance Payment Limit of Benchmark | Shared Loss Rate | Loss Sharing Limit | Minimum Savings Rate/Minimum Loss Rate | # of 2021 ACOs | |
| Track 1* | Up to 50% | 10% | 0% | 0% | 2% to 3.9% MSR depending on # of beneficiaries. Smaller ACOs have higher MSR (5,000 assigned beneficiaries = 3.9% MSR) and larger ACOs have lower MSR, (60,000+ bene’s = 2% MSR). |
119 |
| Track 1+* | Up to 50% | 10% | 30%** | 8% of FFS revenue or 4% of benchmark expenditures |
Same as Enhanced Track |
17 |
| Track 2* | Up to 60% | 15% | 40%-60%** | 3-year contract starting at 5% in year 1; 7.5% in year 2; and 10% in year 3 and beyond |
Same as Enhanced Track |
2 |
| Enhanced Track (Previously Track 3) | Up to 75% | 20% | 40%-75% | 15% of benchmark expenditures |
ACO must select
(varies based on the number of beneficiaries assigned in ACO) |
76 |
| Basic Track A | Up to 40% | 10% | 0% | 0% |
Same as Track 1 |
18 |
| Basic Track B | Up to 40% | 10% | 0% | 0% |
Same as Track 1 |
145 |
| Basic Track C | Up to 50% | 10% | 30% | 2% of ACO participant revenue capped at 1% of updated benchmark |
Same as Enhanced Track |
30 |
| Basic Track D | Up to 50% | 10% | 30% | 4% of ACO participant revenue capped at 2% of updated benchmark |
Same as Enhanced Track |
1 |
| Basic Track E | Up to 50% | 10% | 30% | 8% of ACO participant revenue capped at 4% of updated benchmark |
Same as Enhanced Track |
69 |
| NextGen*** |
2 Options: 80% or 100% |
5%-15% - picked annually | 40%-75% | 15% of Benchmark |
No MSR/MLR. Instead CMS applies discount to benchmark. 80% = 0.5% Discount; 100% = 1.25% Discount |
35 |
Notes:
* Discontinued these tracks December 2018. No new applicants since 1/1/18. 3 Year Agreements.
** Once MSR/MLR is met
*** Discontinued at end of 2021
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