Quality Metrics for Medicare ACOs

For many healthcare providers, especially Accountable Care Organizations (ACOs), Merit-Based Incentive Payment System (MIPS) upward adjustments are in their budget now and they want to keep it that way with year-round performance and gap analysis at the NPI provider level.

Medicare ACOs are moving from CMS Web Interface as optional in 2021 and then mandatory in 2022 to the QPP APP APM Entity Interface. As part of this process readiness is a key factor during 2021 to ensure success in 2022.

To assist Medicare ACOs, we have launched a Medicare ACO QPP APM Entity Resources webpage with measure by measure analysis of available data imports, scoring and FAQ posts.

The key to success for ACOs, Primary Care First (PCF) and Direct Contracting Entities (DCEs) is:

  • Year-Round Gap Analysis

  • Year-Round Performance Scoring at Division, Location, Facility and NPI level

  • Automated Data Imports using FHIR and QRDA files

  • Provider Transparency using scorecards accessible online

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