We offer ACOs and their Member TINs and eligible clinicians (ECs) a comprehensive suite of MACRA Optimization and Care Coordination & Management support services.  Some will be oriented towards your ACO (i.e., calculation of eCQMs under optional/mandatory regulations, and real-time calculations of ACO-level MACRA (MIPS) scores throughout the Corresponding Performance year (CPY), and others towards your Member TINs (i.e., enabling a hierarchy of CQM, PI, IA, & Cost evaluation and submission and Patient Engagement options that can enhance the TINs Payment Adjustment Year (PAY) revenue and reimbursement beyond ACO-level results).

ACO executives need a new and significant value to show their Board and Member TINs. MACRA is the answer. Why? Because payment adjustments in the Medicare Fee Schedule under the QPP & MACRA to TINs is at a level that can exceed most ACOs Shared Savings distributions.

How much money have you invested in the systems and processes (and people) that help to optimize your Shared Savings results? And what is the annual ROI to your Member TINs?

Your management team needs to contemplate the value of the payment adjustment in the Medicare Fee Schedule under the QPP & MACRA to those same TINs knowing that a single point (increase or decrease) in MIPS score will probably be worth up to $250k or more. So, a good question to ask is: Are you doing anything to create an ROI for your Member TINs under MACRA?

We will help your Member TINs earn that return and probably for considerably less than half the cost of a single new hire.

As CMS incentivizes ACOs to integrate eCQM into their reporting repertoire, your Member TINs will look to your ACO for guidance. We provide the needed knowledge, tools, and people to support all required data collection, communication, and analytics to help. And quite probably do it for less than the cost of one employee.

Our formal process for optimizing MIPS (Category Weights Scores) proves that early corrections have big impact, and that year-end (submission-time) analysis has little or no impact on improvement.

Most, if not all physicians will likely fall into “Partial QP” status due to the January 1^st 2024 QP threshold increase from 50% to 70%.

The impact is that Partial QPs are optional MIPS submitters. But with your normal high performance, submissions should earn your member physicians more than their historical QP reimbursement of 5%.  (Note: by electing to not submit they receive zero).

Here is the best option going forward - First, as Partial QP’s, submission should be made by all TINs individually, and the ACO-level CQM submission does not apply.  In this approach, we fulfill the role of ACO support by interacting with each TIN throughout the year to optimize their own Category Weights Scores. For all but one TIN, this will involve generating CQM data from their Certified EHR. This approach will avoid any chance of penalties   and maximize earning & efficiency for your Member TINs.

Our Provider Partner is a MACRA expert and CMS Certified Clinical Qualified Registry that specializes in the processes of MIPS and MACRA Optimization for financial ROI.

They support thousands of independent and hospital-based physicians & clinicians, multi-TIN organizations, and ACOs and their Member TINs. As a Certified Clinical Qualified Registry their a CMS approved entity that collects clinical data from MIPS eligible TINs, physicians, and clinicians (both as individuals and groups) and submits it to CMS on their behalf for purposes of MIPS (reporting options are limited to measures within MIPS and the Quality Payment Program).

They possess a knowledgeable team of people that handle all necessary tasks and provide frequent reporting and useful analysis.

In a 30-minute Zoom call, we will talk about how our comprehensive suite of MACRA, HIE, Patient Outreach, and RAF Optimization solutions that will help you meet your mission goals and provide you with something you will be proud to show your Board and Member TINs.

Take a few moments to complete our NCND and email it to: support@livewellaps.com and reserve a Zoom call with us.

1. Click Here to download our Mutual NCND in pdf.
2. Click Here to go to our Calendly page to reserve a Zoom call (complete the required fields and when asked “purpose of call,” click Other, then type: ACO Support).