In 2021, CMS announced a goal to ensure that all traditional Medicare beneficiaries would have a provider who is responsible for both the quality and total cost of their care by 2030.
As of March 2023, there are reported to be 65 million Medicare beneficiaries in total. However, only 13 million of these beneficiaries are currently receiving care through MSSP ACOs and REACH ACOs, indicating a significant gap toward the goal of 100% coverage.
There are several challenges that need to be addressed in order to achieve this goal. These include issues with data readiness, the lack of a scalable IT infrastructure to meet the demand for digital services, and the need to find the right technology partner to drive innovation. However, it is worth noting that Innovaccer's customers who are participating in the MSSP program have successfully overcome these challenges. In fact, they have generated a total savings of $370 million for the 2022 performance year, making them leaders among high-performing ACOs for seven consecutive years.