ACO ReportingAlternative Payment Models (APM)AttributionPerformance ImprovementPQRS Reporting
December 15, 2015

Expanding Your ACO: The Best Recruiting Strategy for Bigger ACO Savings

Whether your ACO is in its infancy or is established and growing, you’ve probably had to make some difficult choices about which groups to include—and exclude. Your ACO’s success is almost entirely driven by your ACO network’s participating providers (and their patients). They provide the care and generate beneficiary costs, and help to ensure better patient outcomes. Developing that network intelligently is key to achieving shared savings. We’re here to help. Know this: one “free market” concept behind Alternate Payment Models is flawed—the assumption that providers who can demonstrate better results in quality and costs will be in higher demand.…
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AttributionPQRS ReportingQualified Clinical Data Registry ReportingValue-Based Payment Modifier
May 5, 2015

Who Else Cares for Your Patients? How the Wrong Patient Attribution Can Skew Your VBPM

So, exactly who are your patients? Sounds like a silly question. But when it comes to Medicare’s patient attribution methodology, the answer is not obvious. Medicare attributes patients to providers and practices in order to calculate components of the Value-Based Payment Modifier (VBPM). Like it or not, certain patients can be attributed to your practice, even if their conditions are not under your clinical management, skewing your VBPM. If you don’t understand the rules, you risk significant penalties. This is true for all providers, but most apparent in specialty groups. As a Qualified Registry and QCDR that reports all measures…
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