Quality

  • The ACO must report 33 quality measures to CMS.  Twenty-two of the measures are reported from providers' offices.  See frequently Asked Questions(FAQs).

  • Participating providers in the ACO MSSP will be deemed as meeting the Medicare Physician.

  • Quality Reporting Incentives (PQRI) requirement. • Quality measures are categorized into 4 domains:

             1. Patient/Caregiver Expeirence - e.g. patient satisfaction;
             2. Care Coordination/Patient Safety - e.g. post discharge followup;
             3. Preventive Health - e.g. fall risk screening;
             4. At Risk Population - e.g. diabetics, HbA1c poor control.