Medicare ACO Quality Reporting Proposed Updates in 2024 Physician Fee Schedule

Webinar July 28th 12 noon Eastern!

Medicare ACO Quality Reporting - Proposed Regulatory Updates

Register here

A few updates we will be reviewing on the webinar include:

Medicare is proposing to establish a new collection type (the way in which data is collected for a measure), specifically for ACOs:

Medicare CQMs, which can only be reported under the APP.?

• Under the Medicare CQM collection type, an ACO that participates in the Shared Savings Program would only be required to collect and report data on only the ACO’s Medicare fee-for-service beneficiaries instead of all payers and all patients.
• The addition of Medicare CQMs as a collection type is intended to address some of the data aggregation and patient matching issues Shared Savings Program ACOs experienced when reporting eCQMs and MIPS CQMs under the APP.

Medicare is also proposing to update the CEHRT definition to align with the Office of the National Coordinator for Health IT (ONC)’s regulations.

In a recent proposed rule, ONC signaled a move away from the “edition” construct for certification criteria. Instead, all certification criteria will be maintained and updated at 45 CFR 170.315. Medicare is proposing to align with this new definition for QPP and the Medicare Promoting Interoperability Program.

With regard to Shared Savings Program ACOs, Medicare is proposing to remove the CEHRT threshold requirements for Shared Savings Program ACOs.

Webinar July 28th 12 noon Eastern!

Medicare ACO Quality Reporting - Proposed Regulatory Updates

Register here

Kristine Gates, [email protected]