PYA Releases Updated Medicare ACO Road Map White Paper

ACO Road Map Mobile Slider March 2016PYA has released an updated white paper that provides a step-by-step guide to participation in the Medicare Shared Savings Program.

As of 2017, there are 480 accountable care organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP).  Once considered a cutting-edge strategy, MSSP ACOs have become mainstream.  The deadline to file a Notice of Intent to apply for 2018 is May 31, 2017.

Despite the complicated MSSP application process, providers can realize a number of benefits from the program, including a jump start on clinical integration efforts, opportunities to earn shared savings, access to Medicare claims data, improved scores on performance measures, better quality of care and patient satisfaction, and more.

PYA’s updated paper, Medicare ACO Road Map, offers concise, easy-to-follow instructions to navigate the rules and regulations for participation in the MSSP.  The Roadmap, a key resource for organizations considering MSSP participation, covers five areas: (1) The Case for MSSP Participation, (2) ACO Formation and MSSP Application, (3) Operations, (4) Shared Savings Payments, and (5) Private Payer Programs.  It also outlines key deadlines and what’s new now for 2018 participation.

“Experience has taught us that completing the MSSP application is no small feat, and interested providers should get started as soon as possible,” according to the paper’s authors.   “…we have condensed the rules down to the core requirements.  We arranged the information to facilitate substantive discussions and decision-making, rather than hand-wringing over every last regulatory provision.”


Martie Ross

Martie Ross

Principal

David McMillan

David McMillan

Principal

Lori Foley

Lori Foley

Principal

Related Posts
On July 12, the Centers for Medicare & Medicaid Services (CMS) published its 2019 Medicare Physician Fee Schedule Proposed Rule (Proposed Rule).  Weighing in at nearly 1,500 pages, the Proposed...
Read More

Changes to the Medicare Shared Savings Program in the 2019 Medicare Physician Fee Schedule Proposed Rule

On July 12, the Centers for Medicare & Medicaid Services (CMS) published its 2019 Medicare Physician Fee Schedule Proposed Rule (Proposed Rule).  Weighing in at nearly 1,500 pages, the Proposed...
Read More

New Payments for Non-Face-to-Face Services in the 2019 Medicare Physician Fee Schedule Proposed Rule

Last week, the Centers for Medicare & Medicaid Services (CMS) made a surprise announcement regarding participation in the Bundled Payment for Care Improvement – Advanced (BPCI-A) program.  In addition to...
Read More

BPCI-A: CMS Announces New Risk-Free Trial Period

Several PYA employees were acknowledged for their achievements in mid-year promotions.   PYA, a professional services firm, has announced that Matt Neilson is the latest principal to join its executive team.  In addition,...
Read More

PYA Announces Several Mid-Year Promotions

Thought leader and PYA Principal Barry Mathis recently was interviewed in an article, “Inertia Is a Risk with Myriad Security Resources; Overlap May Help.”  Published in the Report on Medicare...
Read More

Inertia Is a Risk with Myriad Security Resources; Overlap May Help

On June 25, the Centers for Medicare & Medicaid Services (CMS) published a public request for information (RFI) regarding the Physician Self-Referral Law, (a.k.a. the Stark Law).  In the last...
Read More

Stark Changes Coming?

The Patient Protection and Affordable Care Act (ACA) became law eight years ago, establishing §501(r) of the Internal Revenue Code (IRC)—a section most tax-exempt hospitals have become quite familiar with...
Read More

Attention Hospitals – Does Your Financial Assistance Policy Make the Grade?

PYA, a national professional services firm headquartered in Knoxville, has been awarded a 2018 Top Workplaces honor by the Knoxville News Sentinel. The award is a result of employee feedback...
Read More

Knoxville News Sentinel Names PYA a Winner of the Greater Knoxville Area 2018 Top Workplaces Award

Bundled Payments for Care Improvement – Advanced (BPCI-A) is the Center for Medicare and Medicaid Innovation’s (CMMI) latest voluntary alternative payment model (APM), and it is garnering a great deal...
Read More

Choosing Wisely – BPCI-A Episode Selection Now Due August 8

Share This Insight

If you received value from this article, please share it with your network (e.g., Facebook, Twitter, LinkedIn). Icons below for your convenience.

Stay Current

* indicates required
Monthly eNewsletters
See more newsletter and alert options.

PYA Population Health Ascend

PYA Healthcare Blog

PYA Thought Leadership Services

The Healthcare Loop