The 2022 CMS PFS And QPP Proposed Rule: 7 Things To Know

July 19, 2021Garrett SchmittNo Comments2022 PFS, ACOs, CEHRT, CMS, COVID-19, data exchange, health equity strategies, Medicare, MIPS Value Pathways, MSSP, MVPs, patient-reported outcomes, Physician Fee Schedule, QPP Proposed Rule, Quality Reporting

After the 2020 election, we predicted seven trends to expect in Value-Based Care. Our forecasts were right on track. Last week the Biden Administration released its first Physician Fee Schedule and Quality Payment Program Proposed Rule, a 1,747-page document that promotes restructured value-based care initiatives. As we predicted, it recognizes both a significant health equity…

New ACO Playbook: 3 Approaches To Scale Up Data Sufficiency For Value-Based Care

July 14, 2021Garrett SchmittNo CommentsAAPMs, ACO, ACO shared savings, ACOs, APM Performance Pathway, CMS, cost tracking, data sufficiency, Episodes of Care, Quality Reporting

Like every health care organization, your struggles with data may appear never-ending. Like money, there never seems to be enough of it. In this article we’ll take the mystery out of how to realistically gauge your data needs, identify the links between what you want to accomplish as an ACO or medical group in value-based…

The Real Registry Advantage For ACOs Reporting Via APP: 5 Myths Debunked

June 2, 2021Garrett SchmittNo CommentsAlternate Payment Model Performance Pathway, APP, eCQMs, EHR reporting, EHRs, MIPS, QRDA, Quality Reporting

The clock is winding down on the CMS Web Interface, and the reality of mandatory quality reporting via the Alternate Payment Model Performance Pathway (APP) for ACOs in 2022 is setting in. In order for ACOs to develop and execute their APP quality reporting plan in time to avoid catastrophe, it’s imperative to begin evaluating…

New ACO Playbook: To Show Standout Performance, ACOs Must Rethink Quality

May 24, 2021Garrett SchmittNo CommentsAAPMs, ACOs, APM Performance Pathway, APP, CMS, Data, MIPS, physician participation, quality care, quality measurement, Quality Reporting

The health care media are full of articles asserting that ACOs have proven their mettle in delivering health care of highest quality. Citing ACO quality reporting results, CMS and advocates point to the majority of ACOs passing CMS quality standards, and that ACOs are improving their results on quality measures over time. The vast majority…

Provider Perceptions of Pharmacists in Primary Care–Based Accountable Care Organizations

April 7, 2021Garrett SchmittNo CommentsACORN SEED, Burnout, Chronic Care, Collaboration, CPAs, patient experience, physician Satisfaction, Primary Care, Provider Education, Quality Reporting, Workflow, Workflow Disruption

Clinical pharmacists are in an ideal position to manage multiple aspects of patient care within value-based care models. In 2015, Nova Southeastern University College of Pharmacy founded the Accountable Care Organization Research Network, Services, and Education (ACORN SEED), a team of pharmacy practice faculty dedicated to using innovative approaches to patient care while providing unique…

Unify ACO Quality and Cost Initiatives to Boost Long-term Results

April 18, 2018Garrett SchmittNo CommentsGaps in Care, Quality Reporting, Readmission, Readmissions

Let’s face it. There’s a pretty low bar to meeting Medicare’s ACO Quality requirements. Most ACOs have achieved acceptable quality performance for Medicare Shared Savings Plans (MSSPs).  They have not, however, achieved the savings needed to be successful. ACO supporters point to the “Triple Aim” of achieving higher quality, cost savings and good patient experience…

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