Category: Accountable Care Organization

MSSP ACO? 3 Quality Updates You Need to Know from the CY2022 Medicare Physician Fee Schedule Final Rule

The recent release of CMS’ CY2022 Medicare Physician Fee Schedule Final Rule is an important document for nearly every type of health care organization. And if you are a Medicare Shared Savings Program (MSSP) Accountable Care Organization (ACO), this document provides the critical information you need to best position your organization for success. While the…
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Internal Quality Measures: The Missing Link to High Performance

After working with hundreds of health care organizations over the last few years, I’ve found that almost all the organizations I’ve worked with have a difficult time integrating quality measures beyond what is required as part of their financial contracts. For example… One primary care clinic thought they were doing well with monitoring depression because…
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Unstructured Data Still a Pain Point for Value-Based Care

What do you need to do to be “the best”? Nearly 80% of health data is unstructured. It’s no wonder then that health care organizations and teams are looking for solutions that help with tapping into this data, given that most of it has yet to be used for population health efforts. Tapping into the…
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A Step-By-Step Checklist to Succeed with CMS’ APM Performance Pathway (APP)

The Centers for Medicaid and Medicare Services (CMS) programs are changing, in many ways for the better. If you are a Medicare Shared Savings Program Accountable Care Organizations (MSSP ACOs) or a Merit-based Incentive Payment System (MIPS) eligible clinician that participates in a MIPS APMs, you have likely heard of the changes as part of…
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CMS’ New APM Performance Pathway (APP): What It Is & Why It Matters

The Centers for Medicaid and Medicare Services (CMS) has created a new reporting pathway in an effort to encourage the transition to alternative payment models by tying financial incentives to broader value-based care goals. The Alternative Payment Model (APM) Performance Pathway (APP) is a new reporting and scoring option for Medicare Shared Savings Program Accountable…
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