ACOs know that the 2021 Proposed Rule 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 a lack of analytic resources harming your efficiency? As ACO programs evolve and mature, many are realizing that in order to thrive, they should reexamine the resources necessary to support physicians and the financial objectives of the organization. Providers are always eager to improve clinical outcomes. However, the sheer volume of data involved with...Read More
Is a lack of analytic resources slowing your transition to value-based care? Medical groups find that value-based contracts are responsible for an increasing share of their revenue. As these programs mature, we see further evolution on both the public and private payer side. Value-based contracts are expected to account for more than 60 percent of...Read More
Understanding the complexity of financial risk involved with value-based reimbursement programs is a challenge. As value-based care reimbursement models have evolved, so too has the financial risk. Performance thresholds are moving higher and the sheer number of elements involved make it challenging to manage what’s needed to perform effectively under these contracts. An important resource...Read More
CMS wants to make quality scores easily accessible and readily available for the public. Did your “avoid-the-MIPS-penalty” strategy just backfire? There is much discussion about whether adhering to CMS Clinical Quality Measures has any direct impact on positive patient outcomes. Without a clear answer, a pragmatic approach to fulfilling the administrative requirement and simply avoiding...Read More
Build a great reporting framework for your organization. The 2019 proposed and final rulemaking as well as the information available on the QPP portal have revealed a great deal about these topics… Read part three of our three-part series. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) replaced the Medicare Sustainable Growth Rate...Read More
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