Accountable Care Bulletin
  Complimentary from the publishers of HealthExecWeek                          July 2023  
     
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Insights
  N.J.-Based ACO Partners to Improve Social Determinants Focus
Healthcare Innovation, July 12, 2023
   
  How ACOs Are Integrating Behavioral Health Services
Behavioral Health Business, July 7, 2023
   
  ACO REACH 101: A guide to the ACO REACH CAHPS survey and how it helps AC
Press Ganey blog, June 23, 2023
   
  How Main Line Health, Delaware Valley ACO Program Reduces Hospitalizations
Hospice News, June 21, 2023
   
  Don’t Fall For Magical Thinking In APP Reporting
Roji Health Intelligence blog, June 16, 2023
   
  Reimagining “Covered Lives” as Communities: Communitarian Ethics for ACOs
The American Journal of Accountable Care, June 16, 2023
   
  Building Research Capacity in PC Practices That Serve Minority Populations
The American Journal of Managed Care, June 6, 2023
HealthSprocket List
 
  CMS: Proposed Changes to the MSSP for Calendar Year 2024: 6 highlights

1.
Establishes a new Medicare Clinical Quality Measure (CQM) collection type for ACOs under the Alternative Payment Model (APM) Performance Pathway (APP).
2. Adds refinements to the financial benchmarking methodology for ACOs in agreement periods beginning on January 1, 2024, and in subsequent years.
3. Adds a third step to the step-wise beneficiary assignment methodology to provide greater recognition of the role of NPs, PAs and clinical nurse specialists in delivering primary care services.
4. Updates the definition of primary care services used for purposes of beneficiary assignment to remain consistent with billing and coding guidelines.
5. Refines policies for the newly established advance investment payments (AIP).
6. Seeks comment on potential future developments to Shared Savings Program policies.

Notes: CMS: Centers for Medicare and Medicaid Services. MSSP: the Medicare Shared Savings Program. NP: nurse practitioner. PA: physician assistant.
 

Source: CMS, July 13, 2023
 
 
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Healthshare TV
 
How cutting off subsidy payments to insurance companies would affect Obamacare The Rural Experience with Accountable Care Organizations

A discussion on the rural experience from a national expert and leaders of Accountable Care Organizations (ACO’s) in the Northern Border Region. This session will provide direct feedback on current ACO impacts on healthcare delivery in rural communities.

 
 
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What's News
  Calendar Year (CY) 2024 Medicare Shared Savings Program Proposals
CMS, July 13, 2023
 
     
  Risk Selection & Care Fragmentation at Medicare ACOs for Patients With Dementia
Medical Care, abstract only, August 2023
 
     
  ACOs & Use of Surgery Among Patients w/ Alzheimer Disease, Related Dementias
The American Journal of Managed Care, July 12, 2023
 
     
  Variation in Risk-Standardized Admission Rates Among Patients w/ HF in ACOs
Journal of the American Heart Association, June 22, 2023
 
     
  An ACO Maintains Access for Appendicitis During the COVID-19 Pandemic
Journal of Surgical Research, June 22, 2023
 
     
  The Impact of NP Care & ACO Assignment on Skilled Nursing Services
Medical Care, abstract only, June 2023
 
     
HealthExecWeek: Managed Care
 

HealthExecWeek: Managed Care provides a weekly wealth of business intelligence and insights covering the spectrum of subjects filling the arena of managed care. Because doing business in the world of managed care today isn’t siloed, neither is our coverage. You will be able to stay a step ahead in a healthcare business environment where all subject matter lines seem to blue and cross over to the next.

 
     
     
 
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