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Don’t Fall For Magical Thinking In APP Reporting

Don’t Fall For Magical Thinking In APP Reporting

June 16, 2023Theresa HushRoji Health IntelligenceACO Development & CMS ApplicationRoji Health Intelligence

Since the adoption of the 2023 Final Rule requiring ACOs to adopt Alternate Payment Model Performance Pathway (APP) quality reporting by performance year 2025, many ACOs have been scrambling to understand how to make the leap. There’s a huge difference between the old method of quality reporting using the CMS Interface to report on a 248-patient sample and the new requirement for APP reporting on all practice patients, regardless of payer type.

The sheer size of reporting volume and mechanics means that your ACO will need to aggregate practice EHR data for the first time, even with fewer measures under the APP. If yours is a multi-practice ACO with no prior investment in data infrastructure—the norm, except for population health— this is a major undertaking. To meet the deadline, your ACO may be one of many feeling pressured to look for the “easy, fast” path to APP reporting. But that’s just magical thinking. Here’s the reality…

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