New Hampshire Nurse Practitioner Association
Empowering Nurse Practitioners as Leaders in Healthcare

For Immediate Action...

Posted 9 months ago by Jennifer Thompson

Medicare Shared Savings Program Proposed Rule
As you are aware, under the current structure of the Medicare Shared Savings Program (MSSP), NPs are authorized accountable care organization (ACO) professionals. However, in order for an NP’s patient to be attributed to an ACO in the MSSP, the patient must receive at least one primary care service from a participating primary care physician in the ACO. AANP has been diligently working to correct this disparity through passage of H.R. 1160, the ACO Assignment Improvement Actand through regulatory discussions with CMS. In the Bipartisan Budget Act of 2018, Congress gave the Secretary of Health and Human Services (HHS) additional flexibility to assign beneficiaries within the Shared Savings Program (MSSP). In the latest MSSP Proposed Rule, HHS is proposing a pathway in which a patient can be assigned to an ACO without requiring one primary care visit from a primary care physician.

Under this proposal, a patient can select an NP as their primary ACO clinician in the MSSP and they will no longer need to see a primary care physician in order to be assigned to the ACO. CMS has directly requested feedback on this proposal. We encourage you to support this proposal to create a pathway for NP participation in the Shared Savings Program (MSSP) that does not require an NP’s patient to be treated by a primary care physician. AANP has created anAdvocacy Center campaign link to provide comment to HHS, complete with template language that can be personalized. Additional information on the proposed rule can be found on AANP’s Regulations page. Comments must be submitted to HHS by October 16, 2018. If you have any questions, please email AANP at
Gene Elizabeth Harkless DNSc, APRN, FNP-BC, CNL, FAANP
Chair and Associate Professor 
Department of Nursing 
University of New Hampshire
Hewitt Hall Rm 245
4 Library Way
Durham, NH 03824
603 862 2285