The Healthmonix Advisor

ACOs Leave MSSP After "Pathways To Success"

Posted by Christina Zink on May 17, 2019

Between 2018 and 2019, 74 of Medicare’s 561 accountable care organizations (ACOs)—or 13%—left the program, according to research by Leavitt Partners. The same research also found that 26% of ACOs that reached the end of their three-year agreement opted to not renew it at the end of 2018.

Read More

Topics: CMS, ACO, APMs

New CMS Toolkit: 5 Care Coordination Strategies For ACO Success

Posted by Christina Zink on May 2, 2019

A new CMS toolkit, released through the CMS ACO learning system, shows five innovative care coordination strategies that have helped Medicare ACOs find success through shared savings.

Read More

Topics: CMS, ACO, APMs

Breaking: CMS Measure Change May Affect ACO Shared Savings

Posted by Christina Zink on April 12, 2019

According to a recent announcement from the National Association of ACOs (NAACOs), CMS failed to adequately communicate significant changes to measure ACO-17, Preventive Care and Screening, Tobacco Use- Screening and Cessation Intervention, until after 2018 quality reporting had begun. NAACOs believes that CMS’s failure to communicate these changes will result in unintended consequences such as lowered or even eliminated shared savings rates for ACOs that consequently received a lower performance score or failed to meet quality standards.

Read More

Topics: CMS, ACO, Policy, APMs

Your One-Stop Guide To Understanding QP and Partial QP Determinations in 2019

Posted by Christina Zink on January 25, 2019

When the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) was signed into law, it created two distinct pathways for reporting: the Merit-Based Incentive Payment System (MIPS), and the Advanced Alternative Payment Model (Advanced APM). Under MIPS, Medicare Part B payments are tied directly to clinician performance based on Composite Performance Scores (CPS), whereas the Advanced APM track encourages groups of clinicians to take on greater risk (and reward) for cost and quality of care.

In this week’s blog, we’re taking a deep dive into Qualifying APM Participant (QP) and Partial QP Determinations, as laid out in the 2019 QPP final rule.

Read More

Topics: Policy, Eligibility, APMs

Analysis Shows MSSP ACOs Saved Twice As Much As CMS Reported

Posted by Christina Zink on September 13, 2018

CMS estimates that between the 2013 and 2015 performance years, accountable care organizations (ACOs) in the Medicare Shared Savings Program (MSSP) saved $954 million. But according to a new analysis from Dobson DaVanzo & Associates, commissioned by the National Association of ACOs (NAACOS), they actually saved $1.84 billion—almost twice as much.

The analysis also found that MSSP delivered net savings of $541.7 million for 2013-2015 after accounting for shared savings bonuses; this is in contrast to the CMS benchmark calculation, which found that the organizations increased Medicare spending by $344.2 million.

Read More

Topics: CMS, ACO, APMs

"Pathways to Success": ACOs Now And In The Future

Posted by Christopher Jayne on August 31, 2018

The tracks of the Medicare ACO model vary greatly, but have been steadily gaining in prevalence since their launch in 2011. Despite the steady increase in ACO participation, most groups are staying at the Track 1 level. In fact, in 2018, 460 of the 649 ACOs existed at the Track 1 level.

Read More

Topics: ACO, Industry insights, APMs

CMS Proposes New Changes to ACOs Under MSSP

Posted by Christina Zink on August 17, 2018

In a new proposal titled “Pathways to Success,” the Centers for Medicare & Medicaid Services (CMS) has laid out a modified set of participation options for ACOs (accountable care organizations) in the Medicare Shared Savings Program (MSSP). The proposed participation options would no longer include an “upside-only” risk model; instead, ACOs would be required to select one of two tracks, both of which ultimately include some downside risk.

Read More

Topics: CMS, ACO, Policy, APMs

Primaris Partners with Healthmonix to Provide MIPS and ACO Reporting Solutions

Posted by Christina Zink on June 21, 2018

Primaris and Healthmonix have joined forces to help healthcare providers meet and exceed new regulations that tie the quality of patient care to the payment for that care.

Read More

Topics: ACO, Healthmonix, APMs

Nail Your 2018 QPP Reporting with the Help of our MACRA Specialists

Posted by Lauren Patrick on May 15, 2018

Over the past year, we tracked over 11 million patients with over 2 BILLION quality actions in MIPS reporting alone! We are already back to work and developing some really cool new analytic solutions to help our clients optimize their Quality outcomes.

Read More

Topics: MACRA & MIPS, Healthmonix, APMs

3 Key Takeaways from the 2017 MACRA Summit

Posted by Christopher Jayne on November 1, 2017

The Second National MACRA MIPS/APM Summit is the leading forum on MACRA, MIPS, APMs, and other Value Based Payment Models. With no fee increases across-the-board for physicians from 2020-2025, value-based payment is going to become key for any health system's viability. Healthmonix was pleased to attend this summit and see MACRA policy and perspective in the making, with thought leaders in the medical, research, and business fields convening to break down MACRA and it's implementation now, as well as look towards the future of what MACRA can and should be.

We put together a brief list of takeaways from this event.

Read More

Topics: MACRA & MIPS, Industry insights, APMs