QUALITY TODAY

A blog dedicated to advancing healthcare quality.

Ten Things To Know About ACOs and Risk Sharing

Posted by Revee White on Jul 28, 2016 10:00:00 AM

Hold onto your hats, ACOs are heading into risky territory. Until recently, most existing ACO models have limited participants’ financial liability. But ACO programs are beginning to strongly encourage their member organizations to participate in risk sharing. That means a larger amount of financial responsibility is being transferred onto healthcare providers. And rather than just sharing savings, healthcare organizations will also be sharing in losses.

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Topics: macra, ACO

Cardiac Cath Lab Accreditation Utilizing CathPCI Registry Data

Posted by Stefanie Honeycutt on Jul 27, 2016 10:00:00 AM

Did you know you can now use your CathPCI data for Cath Lab Accreditation? The first ACC and SCPC accreditation service to exclusively utilize NCDR Registry data launched on June 20.

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Topics: registry reporting, cathPCI, NCDR, ACC

Why You Can't Afford Not to Have a QAPI Program

Posted by Rachel Verslues on Jul 25, 2016 10:00:00 AM

When you’re looking to invest in something, whether it be financially, time wise, or resource-related, one of the first things you ask yourselves is, “what is the return on investment (ROI)?” “What am I going to get out of this?”

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Topics: value-based care, nursing homes, quality measures, QAPI, skilled nursing facilities, SNFVBP

ACOs and the Population Health Management Challenge

Posted by Rachel Verslues on Jul 21, 2016 10:00:00 AM

Five years from now, the accountable care landscape will look considerably different than it does today. There will be many more contracts that involve healthcare providers sharing risk – compared to today’s contracts that share savings but limit risk. As ACOs evolve into risk-bearing entities, healthcare providers need to actively work to improve how they manage patient populations. And they need to do so while simultaneously working to deliver on accountable care’s three primary goals of lowering costs, increasing quality, and improving patient satisfaction. While this progress all sounds fine, population health management is a big job, and for medical professionals that are new to it, population health management can seem like a tough mountain to climb.

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Topics: population health, ACO, population health management

Demystifying MACRA: Aledade & Primaris to Host Educational Event

Posted by Rachel Verslues on Jul 20, 2016 9:00:00 AM

The word MACRA has become quite the buzzword throughout the healthcare industry. What do you know so far about the future of physician payments? What don’t you know?  

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Topics: PQRS, macra, ACO, value-based payments, MIPS

Five Things to Do Today to Prepare for MACRA

Posted by Richard A. Royer on Jul 18, 2016 10:00:00 AM

Last year, Congress passed the Medicare Access and CHIP Reauthorization Act (MACRA) which replaced the much-maligned sustainable growth rate formula and included efforts to bring down costs while increasing quality.  MACRA rules are still being finalized but it will basically transform the way in which Medicare reimburses for physician services.

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Topics: EHR, Medicare, macra, value-based payments, quality measures, MIPS

Physician's Commitment to Cultural Change Leads to ACO Success

Posted by Revee White on Jul 14, 2016 10:00:00 AM

It should go without saying that when you join an ACO you have to be open to adopting new ways of doing things. You also have to be open to making improvements, so you can meet performance measures and earn financial rewards. Unfortunately, old habits die hard. For many healthcare providers, breaking away from how things have always been done (think fee-for-service) isn’t easy. So here is a little bit of tough love for physicians (and you know we love you) – if you don’t want to implement structural and clinical changes, then an ACO is not for you. It truly takes a cultural shift for providers to be successful under an accountable care contract.

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Topics: ACO, value-based payments

PQRS GPRO 2016: What to Do in the Next 6 Months

Posted by Revee White on Jul 13, 2016 10:00:00 AM

The June 30 deadline has come and gone to decide to report as a group for PQRS GPRO reporting, starting in Jan 2017. If you said yes, less than six months remain before go time. What do you need to do to be ready? Here are 4 things to check off your list: 

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Topics: GPRO, PQRS, gpro abstraction, PQRS GPRO reporting

"Playing Nice with Others" is Vital for Care Coordination

Posted by Rachel Verslues on Jul 11, 2016 10:00:00 AM

Our parents taught us at a young age to “play nice with others”. As the healthcare industry transitions from fee-for-service to value-based payments, this saying has never been more true. If you don’t play nice, you may be left behind.

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Topics: care coordination, value-based care, nursing homes

Joining an ACO? Do These 3 Things First

Posted by Rachel Verslues on Jul 7, 2016 10:00:00 AM

After joining an ACO, a lot of healthcare providers spend a year or more putting processes and systems in place that will help them meet requirements for profit sharing. That’s right, the first year in an ACO is typically more about learning and adapting than making money. So it is no wonder many ACO participants begin to question whether all the work will ever amount to any real financial rewards.

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Topics: ACO

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