Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Solutions to the New Challenges Facing ACOs and ACO Participants from the 2021 QPP Final Rule

This webinar thoroughly explains four key changes in the 2021 Quality Payment Program (QPP) Final Rule: the discontinuation of the CMS Web Interface, the introduction of the Alternative Payment Model (APM) Performance Pathway (APP), the discontinuation of the APM scoring standard, and the expanded use of the APM entity submitter type. These changes create eight new challenges in quality measurement for ACOs in the Medicare Shared Savings Program (MSSP) and ACO participants in the Merit-Based Incentive Payment System (MIPS).

Darren O’Brien, Client Development Director for Regulatory Measures at Health Catalyst, and Rachel Katz, Senior Vice President of Product Development at Health Catalyst and former CEO of Able Health, analyze each change, discuss the new challenges created, and demonstrate how Health Catalyst solutions can help.

This webinar accomplishes the following:
- Analyzes the four key changes.
- Evaluates the eight new challenges.
- Creates solutions for each new challenge.

  • Be the first to comment

  • Be the first to like this

Solutions to the New Challenges Facing ACOs and ACO Participants from the 2021 QPP Final Rule

  1. 1. Solutions to New Challenges Facing ACOs and ACO Participants in the 2021 QPP Final Rule January 27, 2021
  2. 2. © 2020 Health Catalyst ACOs and ACO participants 2 CMS APM Entity TIN NPI NPI NPI NPI TIN NPI NPI NPI NPI TIN NPI NPI NPI TIN NPI NPI TIN NPI NPI NPI NPI ACO
  3. 3. © 2020 Health Catalyst ACOs and ACO participants 3 CMS APM Entity TIN NPI NPI NPI NPI TIN NPI NPI NPI NPI TIN NPI NPI NPI TIN NPI NPI TIN NPI NPI NPI NPI MlPS APM Participants ACO
  4. 4. Four Changes 1. Discontinuation of the CMS Web Interface 2. Introduction of the APM Performance Pathway (APP) 3. Discontinuation of the MIPS APM scoring standard 4. Addition of the APM entity as a MIPS submitter type Eight Challenges 1. Submission method change 2. Care delivery changes 3. Data collection changes 4. Scoring changes 5. Decreased quality performance for ACOs 6. Decreased MIPS scores for ACO participants 7. Additional MIPS submissions for ACO participants 8. MIPS submissions for ACOs Health Catalyst Solutions Agenda
  5. 5. © 2020 Health Catalyst Four Changes 5 Change #1 - Discontinuation of the CMS Web Interface Claims EHR Registry CMS Web Interface CMS
  6. 6. © 2020 Health Catalyst Four Changes 6 Quality CAHPS for MIPS (counted as one measure) Two administrative claims measures: • (New) Hospital-Wide, 30-day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups • (New) Risk Standardized, All-Cause Unplanned Admissions for Multiple Chronic Conditions for ACOs Three self-reported measures: • Diabetes: Hemoglobin A1c (HbA1c) Poor Control • Preventive Care and Screening: Screening for Depression and Follow-up Plan • Controlling High Blood Pressure The APP for ACOs using eCQMs and CQMs Change #2 – Introduction of the APM Performance Pathway (APP)
  7. 7. © 2020 Health Catalyst Four Changes 7 Quality CAHPS for MIPS (counted as one measure) Two administrative claims measures: • (New) Hospital-Wide, 30-day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups • (New) Risk Standardized, All-Cause Unplanned Admissions for Multiple Chronic Conditions for ACOs Ten self-reported measures: • Diabetes: Hemoglobin A1c (HbA1c) Poor Control • Preventive Care and Screening: Screening for Depression and Follow-up Plan • Controlling High Blood Pressure • Falls: Screening for Future Fall Risk • Preventive Care and Screening: Influenza Immunization • Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention • Colorectal Cancer Screening • Breast Cancer Screening • Statin Therapy for the Prevention and Treatment of Cardiovascular Disease • Depression Remission at Twelve Months The APP for ACOs using the CMS Web Interface Change #2 – Introduction of the APM Performance Pathway (APP)
  8. 8. © 2020 Health Catalyst Four Changes 8 Quality Promoting Interoperability Improvement Activities Cost CAHPS for MIPS (counted as one measure) Two administrative claims measures: • (New) Hospital-Wide, 30-day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups • (New) Risk Standardized, All-Cause Unplanned Admissions for Multiple Chronic Conditions for ACOs Three self-reported measures: • Diabetes: Hemoglobin A1c (HbA1c) Poor Control • Preventive Care and Screening: Screening for Depression and Follow-up Plan • Controlling High Blood Pressure All standard measures in the PI category Automatic score of 100% in 2021 PY None The APP for MIPS APM participants using eCQMs or CQMs Change #2 – Introduction of the APM Performance Pathway (APP)
  9. 9. © 2020 Health Catalyst Four Changes 9 Quality Promoting Interoperability Improvement Activities Cost CAHPS for MIPS (counted as one measure) Two administrative claims measures: • (New) Hospital-Wide, 30-day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups • (New) Risk Standardized, All-Cause Unplanned Admissions for Multiple Chronic Conditions for ACOs Ten self-reported measures: • Diabetes: Hemoglobin A1c (HbA1c) Poor Control • Preventive Care and Screening: Screening for Depression and Follow-up Plan • Controlling High Blood Pressure • Falls: Screening for Future Fall Risk • Preventive Care and Screening: Influenza Immunization • Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention • Colorectal Cancer Screening • Breast Cancer Screening • Statin Therapy for the Prevention and Treatment of Cardiovascular Disease • Depression Remission at Twelve Months All standard measures in the PI category Automatic score of 100% in 2021 PY None The APP for MIPS APM participants using the CMS Web Interface Change #2 – Introduction of the APM Performance Pathway (APP)
  10. 10. © 2020 Health Catalyst Four Changes 10 CMS Change #3 – Discontinuation of APM scoring standard APM Entity TIN NPI NPI NPI NPI TIN NPI NPI NPI NPI TIN NPI NPI NPI TIN NPI NPI TIN NPI NPI NPI NPI MIPS MSSP ACO
  11. 11. © 2020 Health Catalyst Four Changes 11 Change #3 – Discontinuation of the APM scoring standard Scenario Final Score Used to Determine Payment Adjustments TIN/NPI has more than one APM Entity final score The highest of the APM Entity final scores TIN/NPI has an APM Entity final score and also has an individual score APM Entity final score TIN/NPI has an APM Entity final score that is not a virtual group score and also has a group final score APM Entity final score TIN/NPI has an APM Entity final score and also has a virtual group score APM Entity final score TIN/NPI has a virtual group score and an individual final score Virtual group score TIN/NPI has a group final score and an individual final score, but no APM Entity final score and is not in a virtual group The highest of the group or individual final score Former MIPS Scoring Hierarchy
  12. 12. © 2020 Health Catalyst Four Changes 12 Change #3 – Discontinuation of the APM scoring standard New MIPS Scoring Hierarchy Scenario Final Score Used to Determine Payment Adjustments TIN/NPI has a virtual group final score, an APM Entity final score, an APP final score, a group final score, and/or an individual final score. Virtual group final score. TIN/NPI has an APM Entity final score, an APP final score, a group final score, and/or an individual final score, but is not in a virtual group. The highest of the available final scores.
  13. 13. © 2020 Health Catalyst Four Changes 13 Change #4 – Addition of the APM entity as a MIPS submitter type APM participation Participation status Framework MIPS participation level Yes MIPS APM participant Traditional Virtual group APM entity Group Individual APP Virtual group APM entity Group Individual
  14. 14. © 2020 Health Catalyst Four Changes 14 Change #4 – Addition of the APM entity as a MIPS submitter type APP CMS Traditional MIPS APM Entity “…individual clinicians submitting for themselves, or someone authorized to submit data on behalf of a clinician or practice.” (CMS, QPP Website).
  15. 15. © 2020 Health Catalyst Four Changes 15 CMS Change #4 – Addition of APM entity as a MIPS submitter type APM Entity TIN NPI NPI NPI NPI TIN NPI NPI NPI NPI TIN NPI NPI NPI TIN NPI NPI TIN NPI NPI NPI NPI (APP) MIPS (Traditional) MSSP (APP) ACO
  16. 16. © 2020 Health Catalyst Four Changes 16 Change #4 – Addition of the APM entity as a MIPS submitter type APM participation Participation status Framework MIPS participation level Yes MIPS APM participant Traditional Virtual group APM entity Group Individual APP Virtual group APM entity Group Individual
  17. 17. Four Changes 1. Discontinuation of the CMS Web Interface 2. Introduction of the APM Performance Pathway (APP) 3. Discontinuation of the MIPS APM scoring standard 4. Addition of the APM entity as a MIPS submitter type Eight Challenges 1. Submission method changes 2. Care delivery changes 3. Data collection changes 4. Scoring changes 5. Decreased quality performance for ACOs 6. Decreased MIPS scores for ACO participants 7. Additional MIPS submissions for ACO participants 8. MIPS submissions for ACOs Health Catalyst Solutions Agenda
  18. 18. © 2020 Health Catalyst Eight Challenges 18 Change #1 – Discontinuation of the CMS Web Interface 1. Submission method change
  19. 19. © 2020 Health Catalyst Eight Challenges 19 Change #1 – Discontinuation of the CMS Web Interface 1. Submission method change 185 47 0 20 40 60 80 100 120 140 160 180 200 QCDRs CQMs eCQMs Count of Quality Measures Available in each Submission Method Varies by QCDR
  20. 20. © 2020 Health Catalyst Eight Challenges 20 Change #1 – Discontinuation of the CMS Web Interface 1. Submission method change 2. Care delivery changes 1. New patient populations 2. New/different measures
  21. 21. © 2020 Health Catalyst Eight Challenges 21 Change #1 – Discontinuation of the CMS Web Interface 1. Submission method change 2. Care delivery changes 1. New patient populations 2. New/different measures All Patients Medicare Patients Sample of Medicare Patients
  22. 22. © 2020 Health Catalyst 185 47 0 20 40 60 80 100 120 140 160 180 200 QCDRs CQMs eCQMs Count of Quality Measures Available in each Submission Method Eight Challenges 22 Change #1 – Discontinuation of the CMS Web Interface 1. Submission method change 2. Care delivery changes 1. New patient populations 2. New/different measures Varies by QCDR
  23. 23. © 2020 Health Catalyst Eight Challenges 23 Change #1 – Discontinuation of the CMS Web Interface 1. Submission method change 2. Care delivery changes 3. Data collection changes 1. New patient populations 2. New value sets
  24. 24. © 2020 Health Catalyst Eight Challenges 24 Change #1 – Discontinuation of the CMS Web Interface 1. Submission method change 2. Care delivery changes 3. Data collection changes 1. New patient populations 2. New value sets All Patients Sample of Medicare Patients Medicare Patients
  25. 25. © 2020 Health Catalyst Eight Challenges 25 Change #1 – Discontinuation of the CMS Web Interface 1. Submission method change 2. Care delivery changes 3. Data collection changes 1. New patient populations 2. New value sets Data source Data type Unstructured data Structured data Mapped data Source #1 Clinical 135 Systolic pressure: 135 Source #2 Clinical Free text: “Counseled patient on the need to diet in response to BMI of 38” Drop-down selection: lifestyle education regarding diet (drop-down option) 443288003 (SNOMED-CT) Source #3 Clinical Free text: “Reconciled patient meds after discharge” Drop-down selection: Medication Reconciliation Post-Discharge 430193006 (SNOMED-CT) Source #4 Clinical Free text: “Prescribed Sulfazine for patient’s rheumatoid arthritis ” eRx: Sulfazine 1147790 (RxNorm)
  26. 26. © 2020 Health Catalyst Eight Challenges 26 Change #1 – Discontinuation of the CMS Web Interface 1. Submission method change 2. Care delivery changes 3. Data collection changes 4. Scoring changes Collection Type Submission Method Decile 3 Decile 4 Decile 5 Decile 6 Decile 7 Decile 8 Decile 9 Decile 10 CMS Web Interface CMS Web Interface n/a 70.00- 60.01 60.00- 50.01 50.00- 40.01 40.00- 30.01 30.00- 20.01 20.00- 10.01 <=10 eCQM EHR / Registry 79.99- 70.01 70.00- 60.01 60.00- 50.01 50.00- 40.01 40.00- 30.01 30.00- 20.01 20.00- 10.01 <=10 CQM Registry >= 99.46 99.45- 92.62 92.61- 74.48 74.47- 57.09 59.08- 46.85 46.84- 37.89 37.88- 31.41 <= 31.40 Diabetes: Hemoglobin A1c (HbA1c) Poor Control >9%
  27. 27. © 2020 Health Catalyst Eight Challenges 27 Change #1 – Discontinuation of the CMS Web Interface 1. Submission method change 2. Care delivery changes 3. Data collection changes 4. Scoring changes Preventive Care and Screening: Influenza Immunization Collection Type Submission Method Decile 3 Decile 4 Decile 5 Decile 6 Decile 7 Decile 8 Decile 9 Decile 10 CMS Web Interface CMS Web Interface n/a 30.00- 39.99 40.00- 49.99 50.00- 59.99 60.00- 69.99 70.00- 79.99 80.00- 89.99 90.00- 100 eCQM EHR / Registry 00.11- 03.34 03.35- 16.95 16.96- 36.49 36.50- 58.40 58.41- 81.09 81.10- 92.41 92.42- 99.99 100 CQM Registry 00.21- 11.43 11.44- 32.82 32.83- 61.63 61.64- 88.07 88.08- 99.43 99.44- 99.99 -- 100
  28. 28. © 2020 Health Catalyst Poll Question #1 28 Which challenge related to the discontinuation of the CMS Web Interface is the greatest?
  29. 29. © 2020 Health Catalyst Eight Challenges 29 Change #2 – Introduction of the APM Performance Pathway (APP) 5. The APP decreases quality performance scores for MSSP ACOs 6. The APP decreases APM entity MIPS scores for MIPS APM participants
  30. 30. © 2020 Health Catalyst Eight Challenges 30 Change #2 – Introduction of the APM Performance Pathway (APP) 5. The APP decreases quality performance scores for MSSP ACOs “…The proposed methodological changes in ACO quality scoring will reduce the mean ACO quality score by roughly 10 to 15 percentage points relative to recent historical performance years where ACO quality performance scores have averaged 90 percent or more” (CMS, 2021 QPP Proposed Rule, p. 913)
  31. 31. © 2020 Health Catalyst APM Entity (93) TIN NPI (93) NPI (93) NPI (93) NPI (93) TIN NPI (93) NPI (93) NPI (93) TIN NPI (93) NPI (93) NPI (93) NPI (93) TIN NPI (93) NPI (93) TIN NPI (93) NPI (93) NPI (93) NPI (93) Eight Challenges 31 APM entity reporting Change #2 – Introduction of the APM Performance Pathway (APP) 5. The APP decreases quality performance scores for MSSP ACOs 6. The APP decreases APM entity MIPS scores for MIPS APM participants
  32. 32. © 2020 Health Catalyst Eight Challenges 32 APM entity reporting APM Entity (90) TIN NPI (90) NPI (90) NPI (90) NPI (90) TIN NPI (90) NPI (90) NPI (90) TIN NPI (90) NPI (90) NPI (90) NPI (90) TIN NPI (90) NPI (90) TIN NPI (90) NPI (90) NPI (90) NPI (90) Change #2 – Introduction of the APM Performance Pathway (APP) 5. The APP decreases quality performance scores for MSSP ACOs 6. The APP decreases APM entity MIPS scores for MIPS APM participants
  33. 33. © 2020 Health Catalyst Eight Challenges 33 Change #3 – Discontinuation of the APM Scoring Standard Clinicians classified as MIPS APM participants could have up to eight final MIPS scores when a participant is included in multiple MIPS submissions. APM participation Participation status Framework MIPS participation level Yes MIPS APM participant Traditional Virtual group APM entity Group Individual APP Virtual group APM entity Group Individual
  34. 34. © 2020 Health Catalyst Eight Challenges 34 CMS Change #4 – Addition of APM entity as a MIPS submitter type APM Entity TIN NPI NPI NPI NPI TIN NPI NPI NPI NPI TIN NPI NPI NPI TIN NPI NPI TIN NPI NPI NPI NPI (APP) MIPS (Traditional) MSSP (APP)
  35. 35. © 2020 Health Catalyst Eight Challenges 35 Discontinuation of the CMS Web Interface 1. Submission method change 2. Care delivery changes 3. Data collection changes 4. Scoring changes Introduction of the APM Performance Pathway (APP) 5. Decreased quality performance for ACOs 6. Decreased MIPS scores for ACO participants Discontinuation of the APM scoring standard 7. Additional MIPS submissions for ACO participants Addition of an APM entity as a MIPS submitter type 8. MIPS submissions for ACOs
  36. 36. © 2020 Health Catalyst Poll Question #2 36 Which of the changes creates the greatest challenge(s)?
  37. 37. Four Changes 1. Discontinuation of the CMS Web Interface 2. Introduction of the APM Performance Pathway (APP) 3. Discontinuation of the MIPS APM scoring standard 4. Addition of the APM entity as a MIPS submitter type Eight Challenges 1. Submission method changes 2. Care delivery changes 3. Data collection changes 4. Scoring changes 5. Decreased quality performance for ACOs 6. Decreased MIPS scores for ACO participants 7. Additional MIPS submissions for ACO participants 8. MIPS submissions for ACOs Health Catalyst Solutions Agenda
  38. 38. © 2020 Health Catalyst 38 Health Catalyst’s Quality Measures Solution Creates a complete picture by combining complete data from a complete list of data sources, complete measures from a complete list of programs, and complete performance visualizations.
  39. 39. © 2020 Health Catalyst 39 Health Catalyst’s Quality Measures Solution Creates a complete workflow by combining the processes for monitoring, improving, and submitting performance to payers.
  40. 40. © 2020 Health Catalyst 40 Change #1 – Discontinuation of the CMS Web Interface 1. Submission method change Health Catalyst’s Quality Measures Solution
  41. 41. © 2020 Health Catalyst 41 Change #1 – Discontinuation of the CMS Web Interface 1. Submission method change Health Catalyst’s Quality Measures Solution
  42. 42. © 2020 Health Catalyst 42 Change #1 – Discontinuation of the CMS Web Interface 1. Submission method change 2. Care delivery changes Health Catalyst’s Quality Measures Solution
  43. 43. © 2020 Health Catalyst 43 Change #1 – Discontinuation of the CMS Web Interface 1. Submission method change 2. Care delivery changes Health Catalyst’s Quality Measures Solution
  44. 44. © 2020 Health Catalyst 44 Change #1 – Discontinuation of the CMS Web Interface 1. Submission method change 2. Care delivery changes 3. Data collection changes Health Catalyst’s Quality Measures Solution
  45. 45. © 2020 Health Catalyst 45 Change #1 – Discontinuation of the CMS Web Interface 1. Submission method change 2. Care delivery changes 3. Data collection changes Health Catalyst’s Quality Measures Solution
  46. 46. © 2020 Health Catalyst 46 Change #1 – Discontinuation of the CMS Web Interface 1. Submission method change 2. Care delivery changes 3. Data collection changes 4. Scoring changes Health Catalyst’s Quality Measures Solution Floor: 100.0% Decile 3: 68.31% Decile 4: 50.62% Decile 5: 37.5% Decile 6: 28.69% Decile 7: 20.0% Decile 8: 13.59% Decile 9: 9.02% Decile 10: 2.7%
  47. 47. © 2020 Health Catalyst 47 Health Catalyst’s Quality Measures Solution Change #1 – Discontinuation of the CMS Web Interface 1. Submission method change 2. Care delivery changes 3. Data collection changes 4. Scoring changes
  48. 48. © 2020 Health Catalyst 48 Health Catalyst’s Quality Measures Solution Change #2 – Introduction of the APM Performance Pathway (APP) 5. The APP decreases quality performance scores for MSSP ACOs 6. The APP decreases APM entity MIPS scores for MIPS APM participants
  49. 49. © 2020 Health Catalyst 49 Health Catalyst’s Quality Measures Solution Change #2 – Introduction of the APM Performance Pathway (APP) 5. The APP decreases quality performance scores for MSSP ACOs 6. The APP decreases APM entity MIPS scores for MIPS APM participants
  50. 50. © 2020 Health Catalyst 50 Health Catalyst’s Quality Measures Solution Change #2 – Introduction of the APM Performance Pathway (APP) 5. The APP decreases quality performance scores for MSSP ACOs 6. The APP decreases APM entity MIPS scores for MIPS APM participants
  51. 51. © 2020 Health Catalyst 51 Health Catalyst’s Quality Measures Solution Change #2 – Introduction of the APM Performance Pathway (APP) 5. The APP decreases quality performance scores for MSSP ACOs 6. The APP decreases APM entity MIPS scores for MIPS APM participants
  52. 52. © 2020 Health Catalyst 52 Health Catalyst’s Quality Measures Solution Change #2 – Introduction of the APM Performance Pathway (APP) 5. The APP decreases quality performance scores for MSSP ACOs 6. The APP decreases APM entity MIPS scores for MIPS APM participants
  53. 53. © 2020 Health Catalyst Health Catalyst’s Quality Measures Solution 53 Change #3 – Discontinuation of the APM scoring standard APM participation Participation status Framework MIPS participation level Yes MIPS APM participant Traditional Virtual group APM entity Group Individual APP Virtual group APM entity Group Individual
  54. 54. © 2020 Health Catalyst Health Catalyst’s Quality Measures Solution 54 CMS APM Entity TIN NPI NPI NPI NPI TIN NPI NPI NPI NPI TIN NPI NPI NPI TIN NPI NPI TIN NPI NPI NPI NPI (APP) MIPS (Traditional) MSSP (APP) Change #3 – Discontinuation of the APM scoring standard
  55. 55. © 2020 Health Catalyst Health Catalyst’s Quality Measures Solution 55 CMS APM Entity TIN NPI NPI NPI NPI TIN NPI NPI NPI NPI TIN NPI NPI NPI TIN NPI NPI TIN NPI NPI NPI NPI (APP) MIPS (Traditional) MSSP (APP) Change #3 – Discontinuation of the APM scoring standard
  56. 56. © 2020 Health Catalyst Health Catalyst’s Quality Measures Solution 56 CMS APM Entity TIN NPI NPI NPI NPI TIN NPI NPI NPI NPI TIN NPI NPI NPI TIN NPI NPI TIN NPI NPI NPI NPI (APP) MIPS (Traditional) MSSP (APP) Change #3 – Discontinuation of the APM scoring standard
  57. 57. © 2020 Health Catalyst Health Catalyst’s Quality Measures Solution 57 CMS APM Entity TIN NPI NPI NPI NPI TIN NPI NPI NPI NPI TIN NPI NPI NPI TIN NPI NPI TIN NPI NPI NPI NPI (APP) MIPS (Traditional) MSSP (APP) Change #3 – Discontinuation of the APM scoring standard Virtual Group
  58. 58. © 2020 Health Catalyst Health Catalyst’s Quality Measures Solution 58 CMS APM Entity TIN NPI NPI NPI NPI TIN NPI NPI NPI NPI TIN NPI NPI NPI TIN NPI NPI TIN NPI NPI NPI NPI (APP) MIPS (Traditional) MSSP (APP) Change #4 – Addition of the APM entity as a MIPS submitter type
  59. 59. © 2020 Health Catalyst 59 Change #4 – Addition of the APM entity as a MIPS submitter type Health Catalyst’s Quality Measures Solution
  60. 60. © 2020 Health Catalyst Poll Question #3 60 Which product in the Health Catalyst quality measures solution would be most helpful to ACOs or MIPS APM participants?
  61. 61. Four Changes 1. Discontinuation of the CMS Web Interface 2. Introduction of the APM Performance Pathway (APP) 3. Discontinuation of the MIPS APM scoring standard 4. Addition of the APM entity as a MIPS submitter type Eight Challenges 1. Submission method changes 2. Care delivery changes 3. Data collection changes 4. Scoring changes 5. Decreased quality performance for ACOs 6. Decreased MIPS scores for ACO participants 7. Additional MIPS submissions for ACO participants 8. MIPS submissions for ACOs Health Catalyst Solutions Agenda
  62. 62. Four Changes 1. Discontinuation of the CMS Web Interface 2. Introduction of the APM Performance Pathway (APP) 3. Discontinuation of the MIPS APM scoring standard 4. Addition of the APM entity as a MIPS submitter type Eight Challenges 1. Submission method change 2. Care delivery changes 3. Data collection changes 4. Scoring changes 5. Decreased quality performance for ACOs 6. Decreased MIPS scores for ACO participants 7. Additional MIPS submissions for ACO participants 8. MIPS submissions for ACOs Health Catalyst Solutions Agenda
  63. 63. Questions & Answers

×