Roji Intel Blog

Dave Halpert 0
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2025 CMS PFS Final Rule
ACOsAPP ReportingCMS RulesMerit-Based Incentive Payment System (MIPS)Value-Based Health Care
November 6, 2024

The 2025 CMS PFS Final Rule: The Five-Pronged Strategy Towards Comprehensive Accountable Care

The 2025 CMS PFS Rule landed with a bang, and it’s not just the weight of the 3,088 pages. We’re one year closer to 2030, the year that CMS intends to have all Traditional Medicare patients in a relationship with a clinician who is accountable for total cost of care. The push to the finish line is the primary driver behind each of the QPP-related policies in this Rule. For CMS to accomplish its goal within its stated time-frame, accountable care programs must promote equity, expand into rural and underserved areas, and align to reduce administrative burden. A slew of…
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Theresa Hush 0
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APP Reporting
ACOsAPP ReportingCMS Rules
November 5, 2024

Your ACO May Already Be Late for APP Reporting. Here’s How to Catch Up!

With one year remaining before mandatory APP Reporting in 2026, the idea that you’re already late may sound exaggerated. But consider the significance of what you’re undertaking: This is your first effort to report quality on all your beneficiaries, not just a tiny sliver of patients. It’s a huge leap that requires a lot of advance work. Throughout the 2025 Performance Year data for reporting in 2026, you will be accumulating measure data—or not. You have no chance to improve your quality metrics once 2025 is closed. For your ACO to be ready for APP Reporting in 2026, you must…
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