The Centers for Medicare and Medicaid Services (CMS) has published a proposed rule that would overhaul the Medicare Shared Savings Program, which is the program established by the Affordable Care Act (ACA) and launched in 2012 under which the vast majority of Medicare’s Accountable Care Organizations (ACOs) operate. The redesigned program would be called “Pathways to Success.” The 607-page document, which was released on August 9, 2018, is attached here. This publication did not contain a table of contents so we developed one with page numbers to assist you in navigating this publication. The table of contents are available here. For more details, see today’s Financial Feature.