National Association of ACOs的动态

Earlier this week, the?Centers for Medicare & Medicaid Services?announced their newest primary care model: the ACO Primary Care Flex Model. The model provides up-front funding to offset costs associated with establishing an Accountable Care Organization (ACO) and establishes monthly prospective, population-based payments for primary care providers. The ACO Primary Care Flex Model is available to Low-Revenue ACOs participating in the Medicare Shared Savings Program (MSSP) that either renew their agreement with CMS in 2025 or intend to enter MSSP in 2025. Existing Low Revenue ACOs make up more than half of all MSSP ACOs, care for nearly half of all MSSP beneficiaries, and were responsible for greater average per-capita savings per beneficiary than High Revenue ACOs. We look forward to more details in the Request For Applications. More information on the model:?https://lnkd.in/g-nZj8N6 #Healthcare #HealthcarePolicy #ACO

Growing Engagement in CMS' Accountable Care Organization Initiatives for 2024 Exciting developments in healthcare as CMS reports a substantial rise in accountable care engagement for 2024. With 19 new ACOs joining the Medicare Shared Savings Program, receiving over $20 million in advance payments, the total count now stands at 480 active ACOs. This surge is pivotal in delivering coordinated care for approximately 13.7 million Traditional Medicare beneficiaries. CMS's focus on quality, equity, and person-centered care is making a significant impact. Centers for Medicare & Medicaid Services (CMS) just announced exciting changes for 2024, with more ACOs joining. We can guide you through the process, making sure you get the most out of it. Don't miss out—click here to improve your billing now: https://bit.ly/3vXxh7M #ACO #CMS #MBC #RCM #RCMServices #CMSUpdate #MedicalBilling #MedicalCoding #AccountableCareOrganization #RevenueCycleManagement #MedicalBillersandCoders

The Centers for Medicare & Medicaid Services (CMS) has published the CY 2025 ESRD PPS Final Rule along with a detailed fact sheet and press release. This release includes essential updates that impact the dialysis industry, and we encourage all members to stay informed. ?? RHA members can log into RHA Voices to access a full summary of the CMS final rule. This resource provides valuable insights to help dialysis providers effectively navigate new policy changes. Join the CMS Final Rule Webinar on November 14 to learn more. Register here https://bit.ly/3YMGagl ?? Access the summary: https://bit.ly/48Aqz6E (RHA Voices login required) #HealthcarePolicy #DialysisCare #CMS #RenalHealthcare #RHAUpdates

CMS Says Nearly Half Of Medicare Fee-For-Service Beneficiaries Are Covered Under ACOs Modern Healthcare (1/29, Bennett, Subscription Publication) reports, “Medicare fee-for-service accountable care organizations are thriving, according to the Centers for Medicare and Medicaid Services.” Almost “half of fee-for-service Medicare beneficiaries, or 13.7 million people, are covered under ACOs this year, a 3% increase, the agency said in a news release.” According to the article, “in 2021, the innovation center declared a goal to have all fee-for-service Medicare enrollees associated with accountable care arrangements by 2030. Since then, CMS has undertaken steps to attract more providers and encourage more ACOs to form.” https://buff.ly/3HBEP2u

Making Care Primary (MCP) Model On June 8, 2023, the Centers for Medicare & Medicaid Services (CMS) announced a new voluntary primary care model – the Making Care Primary (MCP) Model – that will be tested in eight states. Launching July 1, 2024, the 10.5-year model will improve care management and care coordination, equip primary care clinicians with tools to form partnerships with health care specialists, and leverage community-based connections to address patients’ health needs as well as their health-related social needs (HRSNs) such as housing and nutrition. CMS is working with State Medicaid Agencies in eight states – Colorado, North Carolina, New Jersey, New Mexico, New York, Minnesota, Massachusetts and Washington – to engage in full care transformation across payers, with plans to engage private payers in the coming months. https://buff.ly/465Lf5B

Struggling with MIPS measures that don’t quite fit your specialty’s workflow? According to Centers for Medicare & Medicaid Services, the new MIPS Value Pathways (MVPs) are designed to ease the reporting burden of traditional MIPS and align measures with specialty-specific needs. Embracing MVPs early can: ? Ease the transition from traditional MIPS ? Minimize staff workload ? Improve patient outcomes Get ahead of the changes and optimize your practice for the future. Explore our eBook to learn more: https://bit.ly/4cWJ6uE #CMS #MIPS #MVPs

CMS’s CY 2025 Rate Announcement: Key Takeaways The Centers for Medicare and Medicaid Services (CMS) published the Calendar Year (CY) 2025 Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies on April 1, 2024. CMS’s stated goals in the Announcement for MA and Part D are to mirror their vision for the agency’s programs as a whole, including advancing health equity, driving comprehensive, person-centered care, and promoting affordability and the sustainability of the Medicare program. Key takeaways from this CY 2025 Rate Announcement are as follows. Take a read of the full Blog below. Rebellis Group Andrew Finkelstein, Esq., CCEP, CHPC

Are you prepared for the coming additions to The Centers for Medicare and Medicaid Services (CMS) Medicare Advantage (MA) Star Ratings Measures? Beginning January 1, 2025, CMS is implementing additions and changes that will impact 2027 Star Ratings. MA Plans and providers must ensure they are fully prepared to identify beneficiaries for which these new measures apply and develop strategies to address their care needs — and time is ticking. Learn more: https://lnkd.in/enECudg5 #FTIHealthcare Key Contacts: Mark Van Ert and Krunal Patel

Although the Centers for Medicare & Medicaid Services (CMS) made changes to their Merit-based Incentive Payment System (MIPS) at the beginning of this year, there’s still time for you to set yourself up to get the most value out of your 2024 performance. Join us for a live webinar today as we walk through what changed this year, discuss your reporting options, and explore ways you can help your practice prepare to report MIPS successfully. https://lnkd.in/gpnYqNjN #healthcare #business

Are you prepared for the coming additions to The Centers for Medicare and Medicaid Services (CMS) Medicare Advantage (MA) Star Ratings Measures? Beginning January 1, 2025, CMS is implementing additions and changes that will impact 2027 Star Ratings. MA Plans and providers must ensure they are fully prepared to identify beneficiaries for which these new measures apply and develop strategies to address their care needs — and time is ticking. Learn more: https://lnkd.in/gqmEaEcP #FTIHealthcare Key Contacts: Mark Van Ert and Krunal Patel