Skip to main content

What you need to take home from the NAACOS conference

Physician enter information on tablet with graphs and data floating in the air

Everybody knows: Conferences aren’t just about what you learn but who you meet.

Anyone attending the annual National Association of ACOs conference this week in Baltimore should take full advantage of the experts in attendance. This will include executives from leading accountable care organizations, private payers and CMS.

NAACOS 2023 will zero in on what you need to know now and who best to learn it from. That includes the industry partners who have helped build incentive-generating infrastructure for the past decade’s most successful ACOs.

Analytics first, last and everywhere

If there’s any question as to what ACOs need to succeed with alternative payment models, simply look at the topic of NAACOS’ opening session: advanced analytics.

There isn’t a single aspect of value-based care that doesn’t happen without analytics:

  • better prevention and primary care;
  • enhanced care coordination;
  • managing risk;
  • benchmarking; and
  • a stronger bottom line.

NAACOS sessions will detail these topics with a common, stated goal: “building and maintaining the fundamental components of a successful Medicare Shared Savings Program [MSSP and other APMs] including compliance, data management, quality reporting and shared savings distribution models.”

Analytics impacts each of these areas. It is present in every care setting and in every tool that has been created to improve quality, cost, efficiency and equity.

You need to know more than ever before — or know people who do

DataGen is one of the industry partners attending NAACOS because we know that VBC is only getting more complicated:

  • Finances. Organizations need to know if a model is “risk right” for them.
  • Operations. A coordinated, system-wide effort is needed to collect the right data, make the right decisions, appoint the right team and maintain support from key leaders.
  • Care design. Like any quality improvement program, ACOs and APMs require targeted interventions. The difference is the complex, government-defined benchmarks tied to provider risk and reward.

These aren’t just pain points. Without an analytics-first approach, each can be an extended (and painful) process. DataGen’s ACO platform can help you:

  1. Identify opportunities to reduce Medicare spending and hit your healthcare delivery goals.
  2. Discover patient care access patterns and trends from your patient risk profiles.
  3. Examine drivers related to post-acute care, admissions and end-of-life care.

Ready or not, here it comes

The year 2030 isn’t that far away. By then, CMS wants 100% of its Medicare beneficiaries to be in VBC models. The names of those models will change and are not limited to ACOs. They include programs that focus on care fundamentals such as Primary Care First and Bundled Payments for Care Improvement Advanced, and those with more specialized targets (e.g., oncology, kidney care and joint replacement).

DataGen has a proven track record with each one and with many of the models that preceded them. We can provide a superior understanding of where these programs have been, where they’re headed and how you can succeed in them.

We know you don’t have time to digest thousands of pages of federal payment rules that change every year. We do it for you, adding analysis, key takeaways and impacts informed by decades of Medicare policy experience. Using this expertise, we’ve built ACO and APM analytics platforms that help you collect, visualize and act — from the micro to macro-data level.

See you at NAACOS

Ready to shape your role in VBC transformation? Visit us at booth #12 at NAACOS or contact us any time to start a free, personalized consultation. 

Labels:

Comments

Post a Comment

Popular posts from this blog

BPCI Advanced – take advantage of the model extension now

The Bundled Payment for Care Improvement (BPCI) Advanced Model is now open for applications until May 31, 2023. This model provides a unique opportunity to acute care hospitals and physician group practices who are looking to: evaluate their bundle performance; rejoin if they have previously dropped out due to being under a convener; or take advantage of the changes to the model. With a small window to sign the participation agreement, you’ll need experts to process data quickly and accurately for evaluation. BPCI Advanced Program Details The Centers for Medicare & Medicaid Services (CMS) announced in October 2022 that this program will extend from January 2024 to December 2025. Data used for evaluation will be taken from the baseline period between October 2018 and September 2022. A participation agreement will be sent out in September 2023 and needs to be signed by October 2023 in order to participate. Those who apply before the May 31 deadline will benefit
Read more

BPCI Advanced Model Extension

CMS recently made several major announcements about the Bundled Payments for Care Improvement Advanced Model.  The model, which was due to expire at the end of 2023 (Model Year 6), will be extended for an additional two years through Dec. 31, 2025.  New applications will be accepted in 2023 for the two-year extension. Participants still active in Model Year 6 can continue without reapplying by signing an amended and restated participation agreement for Model Year 7.  New methodological changes will be implemented for Model Year 6, which starts on Jan. 1, 2023. Methodological changes include that: the CMS Discount Factor for medical clinical episodes will be reduced from 3% to 2%;  the Peer Group Trend Factor Adjustment cap for all clinical episodes will be reduced from 10% to 5%; the Major Joint Replacement of the Upper Extremity clinical episode category will become a multi-setting episode category by allowing episodes to be triggered when the procedure is performed in the hospital ou
Post a Comment
Read more

You’ve been accepted to the Enhancing Oncology Model. Now what?

The Centers for Medicare and Medicaid Services Innovation Center recently announced approved applicants for the new Enhancing Oncology Model. If your facility has been selected by CMS, are you still weighing your options during the current baseline evaluation period?  Two deciding factors may include the program data that CMS provides and whether EOM is enough of an improvement over the prior Oncology Care Model to make your investment worthwhile. Another factor to consider: Will you have the resources in place to conduct a baseline evaluation before EOM’s program start on July 1, 2023? How EOM differs from OCM EOM aims to improve the coordination of oncology care, drive practice transformation and reduce Medicare fee-for-service spending through episode-based payment. It includes three major updates: Fewer cancer types. Compared with OCM’s 21, EOM will be limited to seven common cancer types: breast, prostate, lung, small intestine/colorectal, multiple myeloma, lymphoma and chronic le
Post a Comment
Read more