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Pathways to Success MSSP final rule: Key revisions to the proposed rule07 January 2019 - By Noah Champagne and Charlie Mills and Jason Karcher - Article

This paper summarizes the key provisions of the final rule for the 2019 Medicare Shared Savings Program and highlights differences from the Centers for Medicare and Medicaid Services’s August proposal.

Population-based payments (PBPs) open door for ACOs to more effectively manage care16 October 2018 - By Noah Champagne - Article

The Next Generation accountable care organization (ACO) model introduced a provider payment mechanism called population-based payments that allow ACOs to negotiate provider payment rates and may allow more effective management of resource use.

Why accurate claims coding for MSSP ACOs has become increasingly important26 June 2018 - By Jonah Broulette and Noah Champagne and Kathryn V. Fitch - Article

This brief explains how benchmark year 3 risk scores affect the benchmark calculation for Medicare Shared Savings Program (MSSP) renewals, presents an overview of the prior and new MSSP benchmark calculations, and illustrates how the change can affect an accountable care organization’s benchmark under various scenarios.

MACRA and Medicare Advantage plans: Synergies and potential opportunities21 February 2017 - By Christopher Kunkel and Drew Osborne and Lynn F. Dong and Michael J. Polakowski and Noah Champagne and Charlie Mills - Article

While MACRA primarily affects Part B clinicians, there are numerous implications, synergies, and opportunities for Medicare Advantage plans.

Early thoughts on Medicare Shared Savings Program (MSSP) Track 1+08 November 2016 - By Charlie Mills and Christopher Kunkel and Colleen Norris and Noah Champagne - Article

CMS Final Rules for MACRA give glimpse of MSSP Track 1+ details.

Next Generation ACO Model: Should we take the plunge?31 March 2016 - By Charlie Mills and Cory Gusland and Noah Champagne - Article

This article identifies five key considerations that all accountable care organizations (ACOs) should closely review before deciding whether or not to use the Next Generation ACO Model.

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