I find this an interesting discussion — on the assumed sustainability of the MSSP program and shared savings. For me it misses the BIG POINT of all this. We can mitigate the impact of COVID – related to spending baselines (Budgets) and attribution but in doing so exacerbate the disconnect and correlation between a provider’s actions, measured performance and financial incentives. Incentives don’t work if cause and effect are not linked clearly for those who need to take the actions.
Somehow the objective of this program has become survival of the program and not the transition to more accountability and “better” performance for beneficiaries. I think we have lost our way.
As I have outlined previously; to promote innovation and progress towards better – for members and patients, in a time of uncertainty, we need to embrace risk and the inherent incentives and flexibility that come with it. Risk needs to be shared, informed and managed, but if we want to emerge better — we should not let this crisis go to waste.