Accountable Care Bulletin
  Complimentary from the publishers of Accountable Care News               November 2021  
     
  Sponsor Message  
Quote
  "Exchanging best practices is critical because every provider may not have access to the best practices. If Practice A is doing something best on certain protocols (diabetic protocols, annual wellness visits, etc.), you take those protocols and share them with Practice B. You learn and adapt; that's what has been the biggest learning experience for us."
-  Bob Sarkar, President and CEO, Arkansas Health Network
 

 
Factoid
 

2020 was actually a record year for the Medicare ACOs. Net program savings exceeded $1.86 billion compared to benchmarks and ACOs generated about $190 in net savings per attributed beneficiary, up from $85 to $88 the previous year.

Source: "What It Takes for Medicare ACOs to Earn Shared Savings," RevCycle Intelligence, October 20, 2021.
 

 
HealthSprocket List
 
  NAACOS: 7 Recommended Policy Changes to Improve Health Equity Across ACOs

1.
Collect Race/Ethnicity Data
2. Update Patient Survey Data to Incorporate Equity
3. Incorporate SDOH Screening Tools
4. Stratify a Subset of Quality Measures by Race/Ethnicity
5. Provide Incentives to ACOs for Improvement
6. Develop New Quality Measures to Address Equity
7. Avoid Adjustments to Quality Benchmarks for Race/Ethnicity
 

Source: National Association of ACOs (NAACOS), October 25, 2021
 
 
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Healthshare TV
 
How cutting off subsidy payments to insurance companies would affect Obamacare The 2022 Final Rule: Changes to MIPS and APM Reporting under the Quality Payment Program

CMS has released the 2022 Final Rule impacting MIPS and APMs under the Quality Payment Program. Here are insights on what's coming up for MIPS and the Quality Payment Program:
- Major Changes
- Who's Eligible
- Financial Impact and Incentive Potential
- ACOs, Web Interface & APM Performance Pathway (APP).

 
 
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Insights
CMS’s Strategic Plan for CMMI: New Administration Shifts on Policy—and Strategy
Healthcare Innovation, November 16, 2021
     
  More risk, more reward: AHN's plan to thrive in Medicare's 'Pathways to Success'
Becker's Hospital Review, November 15, 2021
 
     
  Understanding Your ACO's Benchmark
Wakely.com, November 2021
 
     
  How EHR Vendor Population Health Tools Support Care Coordination
EHR Intelligence, October 29, 2021
 
     
  Using ACO Quality Reporting to Improve Health Equity
Nashville Medical News, October 29, 2021
 
     
  What It Takes for Medicare ACOs to Earn Shared Savings
RevCycle Intelligencee, October 20, 2021
 
     
What's News
  Medicare: Transition to Alternative Pmt. Models  in Rural or Underserved Areas
U.S. Government Accountability Office, November 17, 2021
 
     
  Spending among patients with cancer in ACOs 4 years after implementation
Cancer, abstract only, November 12, 2021
 
     
CMS Releases 2022 Medicare Physician Fee Schedule Final Rule
Association of American Medical Colleges, November 5, 2021
     
This Month in Accountable Care News
 
  • Do Unvaccinated Employees Incur Higher Healthcare Costs, and if so, How Much More? by Jill Van Den Bos and Shelley Moss, Milliman
  • Electronic Clinical Quality Measures (eCQM) and the Future, by Melissa Pollock, CHESS Health Solutions
  • New ACO Playbook: How To Supercharge Your ACO, by Theresa Hush, Roji Health Intelligence
  • Industry News: Affirmant Health Partners Ceasing Operations
  • Industry News: Stellar Health Partners with North Collaborative Care ACO
  • ACO Performance Part III: Select Physicians Associates, UnityPoint Accountable Care, Southwestern Health Resources, and Duke Connected Care
 
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