Healthmonix Advisor

The Healthmonix team joined Accountable Care Organization (ACO) leaders throughout the country at the National Association of ACOs (NAACOS) Spring Conference at the beginning of May in Baltimore. There were many great discussions and presentations during the conference, but the hot button topic was eCQM / MIPS CQM reporting. The overwhelming sentiment from the conference is that eCQM reporting is a challenge that all ACOs are struggling with.

The Centers for Medicare & Medicaid Services (CMS) provided strong language to ACOs saying that the timeline for mandatory eCQM / MIPS CQM reporting is not going to change.  CMS encouraged ACOs to use the program years of 2023 and 2024 for strategic preparation and building their infrastructure in advance of the mandatory transition in 2025. 

The 2023 Physician Fee Schedule (PFS) Final Rule was released in November 2022, finalizing many of the promised features of accountable care organizations (ACO) quality reporting.  A couple weeks ago, I wrote about the Quality reporting requirements and Healthmonix's strategies to approach the upcoming changes. For Part 2 of this discussion, I will be introducing the new Health Equity Adjustment and why it will impact quality reporting moving forward. 

Part 3 will cover the move from all or nothing scoring to a scaled approach. 

Once again, if you are a visual learner, you can get most of this information from  our latest webinar. 

The 2023 Physician Fee Schedule (PFS) Final Rule was released on November 6, 2023 and included over 3,000 pages of the Centers for Medicare & Medicaid Services (CMS) regulations and rulings for the 2023 year. While there is a ton of information to cover the entire rule, I would like to share what you need to know about the impact on the Medicare Shared Saving Program (MSSP) for Accountable Care Organizations (ACOs). In the first of this three-part series, I will cover Quality Reporting Requirements and Strategy. Subsequent blogs will cover Introduction to the Health Equity Adjustment and The Move from All or Nothing Scoring to a Scaled Approach .

If you are a visual learner, you can get most of this information from our latest webinar.

If you are managing a Medicare Shared Savings Program accountable care organization (MSSP ACO), you have heard the mandate from the Centers for Medicare & Medicaid Services (CMS) to move to eCQM/CQM reporting, replacing the Web Interface reporting.  You may also be aware of the significant pushback that ACOs, collectively and independently, have provided to CMS.  At this year’s fall National Association of ACOs (NAACOS) conference, the tenor changed to accepting the move, optional in 2022 through 2024, but required in 2025.