On August 9, 2018, CMS released a proposed rule to restructure the Medicare Shared Savings Program (MSSP). The proposal seeks to reduce the amount of time ACOs can remain in the program without assuming risk by eliminating the one-sided shared savings option instituting a two-sided model. ACOs will be able to choose between a BASIC track that steadily increases the amount of risk and an ENHANCED track that would immediate designate providers as an Advanced Alternative Payment Model under Medicare