2024 Fall Key Staff Meeting | September 2024 | News Flash

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September 19, 2024

ACO Update

Based on your membership in the McLaren High Performance Network ACO (MHPN), and our exceptional performance in the MIPS program for the performance year of 2022, you are receiving a positive payment adjustment of 7.36% for all Medicare Fee-For-Service professional claims submitted in 2024.

Additional Benefits of ACO Membership:

  • McLaren assumes all the downside risks associated with the MSSP (Medicare Shared Savings Program) Contracts. Providers have no individual risk.
  • $34 million in shared savings over 6 years
  • Improved Patient Outcomes in our Communities
    • Quality and Utilization metrics have continued to improve year over year.
    • Care Coordination support on patients with chronic conditions.

Resources Provided:

  • Population Health Registry- Persivia
    • Identifies gaps in care on your attributed patients.
  • HCC Coding Assistance Tool
    • Cerner- Stanson, Non-Cerner- Persivia CareTrak
    • Tool improves coding specificity of chronic conditions leading to higher risk-adjustment (funding) and greater opportunity for shared savings and increased Fee-For-Service payments.
  • Quality Field Team
    • Local team of Quality Performance Specialists and Practice Coaches that visit individual practices and helps reduce the administrative burden on the offices.
    • Assists with data abstraction, gap closure and quality reporting.
  • Care Coordination Team
    • Robust team of care management RN’s, LPN’s and MSW’s to assist in the management of patients with chronic conditions.
    • Provides extended access hours to an RN for patients that are discharged from the ED or inpatient settings.
    • Remote Patient Monitoring program to identify and manage patients at risk of chronic condition complications.
  • Pharmacist Medication Reconciliation Program under development (3 regions currently)
  • Reporting
    • MHPN provides individualized reports monthly to all providers on cost, utilization, and quality performance.

 

MHPN will be executing a new MSSP Agreement with CMS effective CY 2025

We want to thank you for your continued participation and for the delivery of exceptional care you and your practice provide to our ACO beneficiaries.

Please contact me at [email protected] or (248) 484-4923 with any questions.