The American Hospital Association (AHA) is lobbying CMS to modify the shared savings rule. According to AHA, the current rules are bringing too much financial risk to the providers without offering them enough financial rewards. A recent report suggests that out of 114 providers in Medicare Shared Savings Program, only 29 were able to realize the savings. AHA has recommended that CMS should extend ACO engagement period from 3 year to 6 year. As per Linda E. Fishman, an AHA senior vice president of public policy analysis and development, the only way CMS can encourage ACO participation is by modifying shared savings program. For more details please visit Ron Shinkman's article link: http://www.fiercehealthfinance.com/story/hospitals-want-cms-ease-aco-rules/2014-04-21