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The little-known consequences of the 2021 ACO rules

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 […]

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MSSP Program and the threat of COVID-19 After the Pandemic

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 […]

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Total Outcomes Management (TOM) | ReportingMD, solutions for patient outcomes management

Is a Lack of Analytic Resources Harming Your Efficiency?

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 […]

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comprehensive MIPS solution

Managing Risk in Complex Value-Based Care Models

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 […]

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Did Your “Avoid-the-MIPS-Penalty” Strategy Just Backfire?

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 […]

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Reducing the Administrative Burden on ACOs

Reducing the Administrative Burden on ACOs Accountable Care Organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP) will have new reporting requirements beginning in 2021. The new rule changes are designed to help reduce reporting burdens and improve patient outcomes. In fact, these changes impact both the kind of data reported to CMS, and the […]

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Is Your Data Collection Method Harming Practitioner Efficiency?

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 […]

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