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March 8, 2018

ACO roundup: How Henry Ford Physicians Network saved $3.9M with Next Gen ACO

Daily Briefing
    • How Henry Ford Physicians Network saved $3.9M with Next Gen ACO. The Henry Ford Physician Network garnered net savings of $3.9 million, representing about $16.48 per member per month in the physician network's first year participating in CMS' Next Generation ACO model. To address areas of waste within the network, Henry Ford established programs targeting the top 5% of patients as determined by prospective risk, specialty referrals, and readmissions from skill-nursing facilities. Henry Ford also engaged in care management integration and clinical decision support to help curb referral and medical decision costs.
    • CMS announces up to $30M in funding to develop quality measures under MACRA. CMS on Friday announced a grant opportunity for up to $30 million in funding and technical assistance for external clinicians, health systems, and other stakeholders to develop, improve, and update quality measures over three years for MACRA's Quality Payment Program (QPP). According to Kate Goodrich, CMS' CMO and director of the agency's Center for Clinical Standards and Quality, CMS through the grant opportunity aims to address areas such as clinician engagement, consumer-informed decisions, efficient data collection, gaps in critical measures, minimizing burdens on providers, and quality measure alignment.
    • Medicare beneficiaries less likely to undergo minimally invasive procedures, study finds. Medicare beneficiaries received far fewer minimally invasive procedures for common conditions than did people in the general population—a disparity that could affect health care costs and quality among Medicare beneficiaries, according to a new study in Surgical Endoscopy. For the study, researchers at Johns Hopkins University assessed the medical records of 233,984 Medicare beneficiaries who underwent at least one of seven common procedures, such as a gallbladder removal or hysterectomy, and determined their odds of complications or readmissions within 30 days. The researchers found that among individuals who had minimally invasive procedures (131,255 of the study population), the rate of complications was lower for every procedure but hernia operations, hospital stays were shorter for six types of operations, Medicare claims were lower for four of the procedures, and reimbursements lower for three of the seven procedures.

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    • Get straight on MACRA. Join us on Tuesday, Mar. 27, to learn some common FAQs about MIPS, and how you can set a compliant path to QPP success

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