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Medicare Shared Savings Program ACO

CMS’ MSSP ACO program has become a foundation for the nation’s continued transition to value-based care, offering a number of options for providers interested in value based contracting for traditional Medicare beneficiaries. More than a decade since its launch, it continues to serve as both an entry point for those new to value and a stalwart for value networks that are deep into their transformation journey.

It is important to note that in May of 2024, for a 2025 launch, there is an opportunity to apply for a new MSSP ACO option that is targeted at “low cost” MSSP ACOs – mainly those that are physician or FQHC driven. This option offers a $250,000 one time up front payment against future shared savings and a prospective monthly primary care payment.
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Whether your organization is considering application or an experienced Enhanced track participant, COPE Health Solutions (CHS) has the expertise and resources to improve performance and increase shared savings.

Our MSSP Services

  • Application, stand up and ongoing administration. The MSSP application process can seem daunting. CHS has the experience and know-how to guide applicants from start to finish. From network formation, governance design to eCQM reporting, CHS provides the full array of service partner capabilities.
  • Care management program design and implementation. Physician participants cannot deliver success on their own. Achieving the best performance requires collaboration with proactive and robust care management resources. CHS has the expertise to design and implement new programs or simply enhance an existing program.
  • Population health informatics through our Analytics for Risk Contracting (ARC) platform. Success in value-based care requires having the right information, at the right time and available to the right people. CHS’ affordable and easily deployed ARC population health informatics platform integrates CCLF files with EHR and other data to create a comprehensive view of utilization, financial and quality performance. Schedule your demo today.
  • Financial modeling and funds flow. The establishment of strong connectivity between providers and contract level performance enhances accountability and reduces execution risk. By aligning operational objectives in clinical and non-clinical settings with ACO REACH financial goals, leaders can make informed decisions and allocate resources effectively. The holistic expense modeling considers medical costs and expense structures required by ACO REACH and various other entities, such as IPAs, MSOs and TPAs.
  • Strategic decision-making support to determine best fit MSSP ACO track and potential gain from new MSSP ACO and related initiatives such as the ACO Primary Care Flex model launching in 2025.

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Name

Our MSSP Experts

Boris Alexandrov

Director

Tim Hudgins

Vice President

Carlene Zincke, RN

Executive Vice President