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ACO Resources

Get insights on CMS regulations, trends in Value Based Care, and other info to optimize the financial outcomes of your ACO.

Webinar 3 of 3 – Calculating accurate and fair shared savings contribution by provider with CMS’s 2020 COVID rule changes

Webinar 3 of 3 - Calculating accurate and fair shared savings contribution by provider with CMS’s 2020 COVID rule changes This last of 3 webinars for MSSP ACOs covers [...]

Webinar 3 of 3 – Calculating accurate and fair shared savings contribution by provider with CMS’s 2020 COVID rule changes2021-08-27T15:16:01+00:00

Webinar 1 of 3 – How to use your 2020 MSSP settlement to make 2022 decisions by Sept 10 deadlines

Webinar 1 of 3 - How to use your 2020 MSSP settlement to make 2022 decisions by Sept 10 deadline This 1st of 3 webinars addresses common questions about settlement [...]

Webinar 1 of 3 – How to use your 2020 MSSP settlement to make 2022 decisions by Sept 10 deadlines2021-08-26T15:35:48+00:00

ACO Participant and Track Selection: Using TIN-Level Metrics to Make ACO-Level Decisions

With the Shared Savings Contribution approach, financial impact of practices that implemented care management workflows becomes evident, with the more engaged practices rewarded accordingly. Positive contributing physicians subsidized those who lowered the shared savings of the ACO. Example cases demonstrate potential far-reaching consequences of distribution strategy on long term sustainability of an ACO.

ACO Participant and Track Selection: Using TIN-Level Metrics to Make ACO-Level Decisions2021-08-04T16:11:10+00:00

Targeted HCC Risk Coding Investment Based on Calculated ROI of Gap Closure

Risk scores are an extremely important piece of the MSSP shared savings formula. Despite this, risk scoring rarely gets the attention it deserves. That’s because optimizing risk scores can be much more That’s because the how, when, and whys of investing into risk scoring can have complicated answers. In this article we cover all the basics on effectively investing to increase risk scores.

Targeted HCC Risk Coding Investment Based on Calculated ROI of Gap Closure2021-05-20T13:47:53+00:00

Impact of the COVID-19 Pandemic on ACO Financials Under MSSP

While CMS exemption of COVID-19 related inpatient expenditures may decrease spending for ACOs, deferred care and outpatient costs associated with COVID-19 may still drive up expenses, leading to financial losses. In response, Validate has added to their services to include COVID-19 episode exclusions for more accurate updated benchmark calculations, risk score monitoring for optimal adjustment to the historical benchmark, beneficiary assignment adjustment for telehealth inclusion, and COVID-19 adjusted analytics.

Impact of the COVID-19 Pandemic on ACO Financials Under MSSP2021-04-29T05:40:19+00:00

Expanding Your Organization’s Network

If you’re not focusing on your provider selection in a fast changing VBC market, your organization is falling behind. Whether you are a small ACO, new to taking on financial risk, or a large and profitable ACO eyeing new opportunities, your strategy should include evaluating your provider selection and expanding your organization’s network.

Expanding Your Organization’s Network2021-04-29T05:38:56+00:00
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