Accountable Care, ACO, MSSP

The Window on the ACO Class of 2014 Is Closing Soon!

By Gregg A. Masters, MPH

For those of you not glued to your Tweetdeck, Hootsuite or other business or brand ‘listening’ outposts and/or dashboards 24/7, let me paste a series of tweets posted by @ACOwatch earlier today extracting some key points made by Martie Ross of PYA Health on the risks of inaction relative to the Medicare Shared Savings program:

Insights from Martie Ross, Principal PYA Health

On the risks on not submitting for the Medicare Shared Savings ACO program…

  1. Class of 2014 Medicare ‘NOI’ACO Deadline 5/31/13 | blogtalkradio.com/acowatch/2013/#acochat #aco
  2. Need roadmap for ACO risk/reward context? See: bit.ly/12VO0hn #aco #acochat
  3. ‘Don’t underestimate the power of the MSSP waivers…’ Martie Ross @pya_pyaHC #acochat #aco
  4. ‘If you’re participating, even claiming MSSP participation U have advantage of building financial relationships’ Martie Ross, @pya_pyaHC
  5. Unencumbered by Stark and other regulatory constraints via the waiver process… Martie Ross, @pya_pyaHC #ACOchat #ACO
  6. ‘..MSSP [ACO] waivers afford enormous freedom for a group of providers to build relationships that actually work..’ Martie Ross, @pya_pyaHC
  7. Last tip: MSSP waivers provide significant competitive advantages to legally forge ACO relationships. Martie Ross, @PYA_pyaHC #ACOchat
  8. Get complete ACO story here: bit.ly/12VO0hn Including link to radio broadcast with Martie Ross, @PYA_pyaHC. #ACO #ACOchat
  9. Some recent posts on the Medicare Shared Savings [ACO] program | bit.ly/10Md8ew #ACOchat #ACO

    NOTE: To download an MSSP submission checklist courtesy of @PYA_pyaHC, click on the image below, and for the Medicare ACO Roadmap, see: Medicare Shared Savings Program: A Road Map.

    MSSP Application Task List PYA
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Accountable Care, MSSP

Medicare Shared Savings Program: A Road Map

By Gregg A. Masters, MPH


Medicare ACO Roadmap

In the litany of ‘whitepapers’, client briefings and less than useful ‘look at me’ marketing pieces that have hit the web since passage of ACA, here is one that is worth the look. Principally authored by Martie Ross of PYA, the title is simply ‘Medicare ACO Roadmap’.

Tomorrow on ‘this week in accountable care‘, we’ll chat with it’s principal author and spokesperson, Martie Ross, J.D.

The drum beat both inside the regulatory sphere of CMS ‘certified ACOs’ as well as the larger pool of privately structured commercial ACOs continues unabated.

To join in on an informative chat either live or via archived replay with Martie Ross, click here.

ACO, Affordable Care Act, MSSP, Triple Aim

CMS Call: Tips on Submitting Application for Medicare MSSP ACO

By Gregg A. Masters, MPH

There are those trying to figure out how to best ‘build out’ if not perfect (as in the Pioneer class) an ACO, while an even larger pool ‘leaning’ in the direction of playing, are focused on the mechanics of the application process. As with the ‘interface model’ that’s kept the Health Information Management Systems Society (HiMSS) afloat (some suggest the lack of inter-operability has a 60% revenue share of HiMSS members), many aligned with the ‘ACO industry’ have focused on the mechanics (and opportunities for ‘structural self assessments) associated with the launch of the Medicare Shared Savings Program application process.Physician Standing Up the ACO

In the support and outreach department CMS has been periodically hosting provider calls, webinars, etc., in the ACO trajectory domain. Still rather early in the ACO roll out game, while local strategy footprints are thrashed out and locally flavored community by geo-political community, the first order of business is to determine whether to submit or not submit the app (NOTE: this is a no brain-er if you are a hospital with even a modest share of Medicare patients, or any medical specialty that interacts with Medicare patients for that matter).

Here are the deets for today’s provider call. If you missed the live call and are reviewing this information retrospectively, the archived replay is noted below:CMS App Clipped

National Provider Call (NPC), Medicare Shared Savings Program Application Process: Tips on Completing a Successful Application. We look forward to your participation.

Time: 1:30 PM – 3:00 PM Eastern Time
Call-in Number:(877) 237-0855 (no ID or passcode is needed)

Important: Conference lines are reserved for those who are registered for today’s NPC. If you know individuals who were unable to register but would like to participate in today’s NPC; please invite them to listen in with you on one registered line.

Slide Presentation:

The location of today’s slide presentation was included in the NPC registration announcement and in your confirmation and previous reminder emails. For those who have not already downloaded the presentation, as well as additional materials for today’s call, you may do so here.

Additional CMS Guidance in Medicare Shared Savings Program ACO Applicants is here.

Other resources include: