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 2 of 3 - What can still be done to impact 2021 shared savings This 2nd of 3 webinars for MSSP ACOs covers actions for the remaining 4.5 [...]
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 [...]
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.
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.
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.
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.
Having a beneficiary attribution management strategy is essential to identifying beneficiaries at risk of de-attribution and to opening doors for the attribution of additional beneficiaries. It also helps to avoid unintended attributions, which can be costly.
ACOs often stand to benefit from moving to greater downside risk. However, this move is difficult to undertake if ACOs aren’t yet sure of their success in the prior year. Having a more accurate performance forecast in hand would allow successful ACOs to move confidently into greater risk (and reward) tracks.
Understanding the specifics of an ACO contract’s attribution methodology and the nuances that vary from contract to contract is key to ACO strategy and success.
