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October 11, 2018

ACO roundup: Bellin Health shares 3 tips for Next Gen ACO quality performance success

Daily Briefing
    • Bellin Health shares 3 tips for Next Gen ACO quality performance success. Bellin Health credits a simplified focus on quality metrics for its performance in the first year of the Next Generation ACO, when the system earned a quality composite score of 64.54% out of a possible 100%—the highest the quality composite score among participating organizations that year.  According to Chris Elfner, director of accountable care strategies at Bellin, credits its success to a three-pronged quality strategy: tracking quality performance in real-time, internally, at the patient level; defining quality measurement based on a single, "solitary" approach, rather than working on multiple quality metrics; and ensuring the system understands "what the quality metrics are and what needs to be captured to meet those quality metrics." 
    • NAACOS said proposed MSSP ACO changes are 'deal breakers.' Board members of the National Association of ACOs last week said CMS' proposed rules that would—among other changes—reduce the amount of time ACOs in the Medicare Shared Savings Program can participate in upside-only models to two years and cut the shared savings rate from 50% to 25% are "deal breakers" for new program participants. Clif Gaus, NAACOS president and CEO, said while "ACOs support the movement to risk, we just don't believe the proposed pathway is doable. 
    • Nearly 1.3K entities enrolled in BPCI-Advanced—but how many will stay? CMS on Monday launched its new voluntary bundled payment model with 1,299 participating entities, and while some participants are excited about the model's prospects, others already are contemplating leaving the model. Organizations that voiced optimism for the new model include Remedy Partners and naviHealth, while some that are mulling an exit include USGC Medical Center, AccentCare, and Northwestern Medicine.

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