decisionhealth Newsletters, Part B News - 2021 Issue 11 (November)
Shared Savings ACOs get two years to brace for heavy APP, eCQM lift
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Article Overview
This article explains delayed Medicare Shared Savings Program reporting changes for accountable care organizations, with emphasis on the transition toward the APM Performance Pathway and electronic clinical quality measure reporting. It also covers related concerns about operational burden, risk scoring, and financial safeguards for participants. The piece is relevant to ACO leadership, quality reporting teams, health policy staff, and coding/billing professionals following Medicare alternative payment models.
Why This Topic Matters
The changes described affect how Shared Savings ACOs will prepare for future Medicare quality reporting, manage data across multiple entities, and adapt to evolving program requirements. Organizations that participate in ACO programs need to understand the timing and scope of these updates to plan staffing, data aggregation, and compliance workflows.
Article Sections
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Shared Savings
Overview of the delayed reporting changes finalized by CMS for Shared Savings ACOs and the general timing of the transition to new performance reporting requirements.
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Coming of eCQMs
Discussion of the move toward electronic quality reporting, including data aggregation challenges, EHR interoperability concerns, and implementation issues for ACO participants.
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Risk-scoring challenges
Coverage of concerns about Shared Savings risk scoring, CMS commentary on future refinements, and stakeholder reactions to the program’s methodology and financial requirements.
What You Will Learn
- How the Shared Savings ACO reporting transition is being phased in
- What general operational issues are associated with electronic quality measure reporting
- Why ACO stakeholders are focused on risk-scoring methodology and reconciliation-related financial safeguards
- How CMS and stakeholder groups are approaching future program changes
Who Should Read This
- Accountable care organization leaders
- Medicare quality reporting staff
- Health policy professionals
- Revenue cycle and compliance teams
- Coding and reimbursement analysts
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