Shared Savings ACOs get a year off from electronic clinical quality measures

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This piece covers CMS policy updates for Shared Savings ACOs under the APM Performance Pathway, including delays in the shift to electronic quality reporting, adjustments to Shared Savings program requirements, and proposed changes affecting attribution and risk progression. It is relevant to ACO leaders, value-based care administrators, quality reporting teams, and coding professionals tracking CMS program implementation and reporting timelines.

Why This Topic Matters

The article matters because it summarizes CMS decisions that affect how Shared Savings ACOs report quality, manage program transition timing, and prepare for future reporting and attribution changes. It also highlights proposed updates that can influence operational planning for ACOs, EHR and registry vendors, and organizations supporting value-based care performance measurement.

Article Sections

  1. Value-based care

    Introduces CMS updates affecting Shared Savings ACO participation, quality reporting, and related program operations within value-based care.

  2. Reporting transition and stakeholder concerns

    Summarizes the shift in quality reporting expectations, the reasons stakeholders raised concerns, and CMS’s response to implementation challenges.

  3. 2022 reporting and performance expectations

    Describes the options and general performance expectations discussed for Shared Savings participants in the next reporting cycle.

  4. Operational and technical concerns

    Highlights implementation issues raised by ACOs and vendors, including data aggregation and measurement readiness.

  5. Proposed Shared Savings program flexibility

    Covers proposed changes to early participation status and other flexibility within the Shared Savings program.

  6. Telehealth and beneficiary assignment

    Discusses proposed treatment of telehealth-delivered primary care services in beneficiary assignment methodology.

  7. Proposed primary care codes for attribution

    Mentions additional primary care-related codes under consideration for attribution-related purposes.

What You Will Learn

  • How CMS is timing the transition in quality reporting for Shared Savings ACOs
  • Which Shared Savings program areas are being adjusted or delayed
  • What general operational concerns ACOs and vendors raised about reporting readiness
  • How telehealth and attribution-related proposals may affect Shared Savings operations
  • Which broad categories of primary care-related services are being proposed for inclusion

Who Should Read This

  • Accountable care organization leaders
  • Value-based care administrators
  • Quality reporting staff
  • Medical coders supporting ACOs
  • EHR and registry vendors
  • Health policy and reimbursement professionals

Codes Discussed


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