ACOs know that the 2021 Proposed Rule[1] has brought a number of changes to ACO participants, including the removal of the CMS Web Interface reporting option. While many ACOs are relieved this option remains in effect for 2021, few have understood the underlying realities of this change. In an effort to reduce burden by streamlining...Read More

Can Your ACO Survive A Post-COVID-19 State? Did Your Track 1 Medicare Shared Savings Program (MSSP) ACO Postpone Signing a New MSSP Contract Until 2021 with a January 2022 Start Date? If so, have you considered how the COVID-19 Public Health Emergency (PHE) will impact your future MSSP participation? Now is the time to start...Read More

Is Your Data Collection Method Harming Practitioner Efficiency? Data collection for quality measurement under value-based care (VBC) programs should not impair practitioner efficiency or patient care. The data needed to measure performance should be collected as a natural byproduct of care delivery and should be leveraged to support quality outcomes. While Health Information Technology (aka...Read More

2020 Pre-submission MIPS Point Round-up Before we close out the 2020 MIPS reporting year, it’s important to ensure you’re taking advantage of every opportunity for higher pay-for-performance incentives, especially when the COVID-19 pandemic has had such an impact on revenue. Here are 3 topics to review before 2020 MIPS reporting wraps up and data is...Read More

Will Trending of Urgent Care Utilization as Primary Care Overthrow the Objectives of Value based care? With an increase in public demand, longer hour availability and walk-in appointments, the cost and time effective convenience of urgent care clinics is experiencing a rise in utilization. According to a 2017 Merritt Hawkins survey on physician appointment times,...Read More

The Cost of Value-Based Healthcare Two primary objectives of Value-Based Care (VBC) are quality improvement and cost reduction. Quality improvement by way of standardized quality measurement is now a customary and integral function of most VBC programs. Alternatively, cost reduction has not, in most cases, experienced such a deliberate effect as that of its counterpart....Read More