decisionhealth Newsletters, Part B News - 2023 Issue 7 (July)
Shared Savings going all-CQM, hitching up to QPP
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Article Overview
This article explains proposed updates affecting Medicare Shared Savings Program accountable care organizations, with emphasis on quality measurement, reporting alignment, and program design changes. It is relevant to ACO leaders, healthcare administrators, and coding/compliance professionals following MSSP and QPP policy developments. The discussion includes electronic clinical quality measure reporting approaches, performance reporting alignment, participation requirements, benchmarking, beneficiary assignment, and health equity-related quality provisions.
Why This Topic Matters
The proposed changes could affect how MSSP participants report quality, prepare infrastructure for electronic measures, and plan for future participation requirements. It also addresses broader MSSP policy shifts that may influence risk, reward, attribution, and quality performance expectations.
Article Sections
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Move to electronic quality reporting
This section outlines CMS’s direction toward electronic quality reporting for MSSP participants and describes the broader transition toward digital measurement within the program.
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Getting their CEHRT together
This section discusses proposed alignment between MSSP and QPP requirements, including changes related to certified health IT and performance reporting expectations.
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New fast track
This section covers a proposed new MSSP track and places it in the context of program risk and reward structure.
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Other MSSP features in the rule
This section summarizes additional proposed MSSP policy changes affecting benchmarking, beneficiary assignment, and health equity-related performance considerations.
What You Will Learn
- How MSSP quality reporting is being aligned more closely with QPP requirements
- What types of electronic quality reporting approaches are being discussed for ACOs
- Which broader MSSP program features are proposed for change
- How CMS is framing future participation, performance, and equity-related expectations
Who Should Read This
- Medicare Shared Savings Program ACO leaders
- Healthcare compliance and quality reporting staff
- Accountable care administrators
- Healthcare policy analysts
- Medical coding and reimbursement professionals
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