RECORDED WEBINAR: Leveraging ACO Waivers – An Investment Opportunity for Physician Led ACOs

May 14, 2019Garrett SchmittNo CommentsACO, ACOs, APM, Downside Risk, MACRA, Reinsurance, risk management, Risk Strategies, Surety Bonds, Webinar, webinars

 Download Slides  Has your Medicare Shared Savings Program (MSSP) ACO taken full advantage of the many waivers of federal fraud and abuse laws, such as the Stark Law and the Anti-Kickback Statute? During the webinar we will discuss the different types of waivers, what they are, which ones matter to you, how to use…

ACO Repayment Mechanisms – Surety Bonds

February 8, 2019Garrett SchmittNo CommentsDownside Risk, Reinsurance, Surety Bonds

ACO Repayment Mechanisms – Surety Bonds Medicare Shared Savings Program (“MSSP”) Tracks 1+, 2, and 3; Pathways to Success Tracks C, D, E, and Enhanced; and NextGen ACOs, have two-sided risk. CMS requires these ACOs to provide a repayment mechanism to assure that shared losses can be repaid. Depending on its track, a Pathways to…

RECORDED WEBINAR: Transitioning Into a Successful Risk-Based ACO – Part 2: How to Prepare For Risk

June 19, 2018Garrett SchmittNo CommentsACO, ACOs, APM, Downside Risk, MACRA, Reinsurance, risk management, Risk Strategies, Surety Bonds, Webinar, webinars

Download Slides  This is Part 2 of a two part series and was recorded on 6/19/2018. As with Part 1, this webinar will be informative for those considering taking risk in an ACO,  specifically Track 1 ACOs considering moving to a risk-based model in 2019. What was covered in this session: The standoff between…

RECORDED WEBINAR: Transitioning Into a Successful Risk Based ACO Part 1: Why Move to Risk & How to Protect Your ACO

June 5, 2018Garrett SchmittNo CommentsACO, ACOs, APM, Downside Risk, MACRA, Reinsurance, risk management, Risk Strategies, Surety Bonds, Webinar, webinars

Download Slides  Recorded on 6.5.18, this webinar will be informative for those considering taking risk in an ACO, specifically Track 1 ACO’s considering moving to a risk-based model in 2019. What is covered: Risk taking in the context of MACRA The move toward ACO risk: results & analysis Financial protection for your ACO View Part…

A Better Choice For ACOs Taking On Downside Risk

March 29, 2018Garrett SchmittNo CommentsDownside Risk, Reinsurance, Surety Bonds

Track 3 and NextGen ACO’s have to demonstrate that they would be able to repay shared losses incurred at any time within the agreement period, and for a sufficient period of time following the end of each agreement period (the “tail period”), to permit CMS to calculate the amount of any shared losses that may…

ACO Repayment Mechanisms – Surety Bonds

March 23, 2018Garrett SchmittNo CommentsDownside Risk, Reinsurance, risk management, Surety Bonds

Medicare Shared Savings Program (“MSSP”) Track 1+, Track 2 and Track 3 ACOs, and NextGen ACOs, have two-sided risk. CMS requires these ACOs to provide a repayment mechanism to assure that shared losses can be repaid. Depending on its track, an ACO’s repayment mechanism equals 1% or 2% of the ACO’s total per capita Medicare…

CMS Announcement: Relaxation of Mandatory Stop-Loss for At-Risk and NextGen ACOs

March 19, 2018acoNo CommentsReinsurance, Stop-Loss

Beginning in 2019, CMS will allow At-Risk ACOs, including Track 1+ and NextGen ACOs, to buy Stop-Loss independent from CMS’ own mandatory Stop-Loss. So what does this mean to your At-Risk ACO and your bottom-line and profits? This new CMS policy allows ACOs to buy stop-loss protection apart from CMS and its truncated (built in…

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