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Medicare Shared Savings Program ACO Reported Clinical Quality Measures 2015 Reference Toolkit Dated: 2/28/2015 This page intentionally left blank This page intentionally left blank TABLE OF CONTENTS

How to fill out medicare shared savings program

How to fill out the Medicare Shared Savings Program:

1. Understand the program: Before filling out the Medicare Shared Savings Program, it is important to have a clear understanding of what it is and how it works. This program is designed to promote coordination and cooperation among healthcare providers to improve the quality of care for Medicare beneficiaries while reducing costs. Familiarize yourself with the program's goals, requirements, and eligibility criteria.
2. Determine eligibility: Check whether you meet the eligibility criteria to participate in the Medicare Shared Savings Program. Eligible entities include Accountable Care Organizations (ACOs), which can be formed by groups of healthcare providers, physicians, hospitals, and other healthcare professionals. Ensure that you meet the necessary qualifications and have the required resources to fulfill the program's obligations.
3. Decide on participation option: There are two tracks available within the Medicare Shared Savings Program, namely Track 1 and Track 2. Evaluate each track's requirements, financial incentives, and risk-sharing arrangements. Assess your organization's abilities, financial capabilities, and goals to determine the most suitable track for participation.
4. Submit an application: Once you have chosen the appropriate track, complete and submit the application to the Centers for Medicare & Medicaid Services (CMS). The CMS application process typically requires providing general information about your organization, its governance structure, and its primary contacts. Additionally, you may need to furnish details on your ACO's leadership and management, beneficiary assignment methodology, and quality improvement initiatives.
5. Establish care coordination processes: Implement care coordination processes within your ACO to ensure effective communication and collaboration among healthcare providers. This involves developing strategies for sharing patient information, coordinating transitions of care, and promoting comprehensive and patient-centered services. Establish a robust system for tracking and reporting data that demonstrates your organization's ability to meet quality benchmarks.
6. Participate in program requirements: Fulfill the various program requirements to remain compliant and maximize financial incentives. This includes actively engaged in quality improvement activities, meeting performance measures, reporting data and outcomes, and adhering to Medicare program rules and regulations. Continuously monitor and evaluate your ACO's progress to identify areas for improvement and implement necessary changes.

Who needs the Medicare Shared Savings Program?

1. Healthcare providers and professionals: Hospitals, physicians, nurses, and other healthcare practitioners who are committed to improving the quality of care provided to Medicare beneficiaries while reducing costs can benefit from the Medicare Shared Savings Program. By participating in this program, they can collaborate with other providers, focus on care coordination, and gain financial incentives.
2. Accountable Care Organizations (ACOs): This program is particularly relevant for ACOs, which are groups of healthcare providers, hospitals, and physicians who come together to take collective responsibility for the quality and cost of care provided to Medicare beneficiaries. Participation in the Medicare Shared Savings Program allows ACOs to enhance care coordination, optimize the use of resources, and share in any cost savings generated.
3. Medicare beneficiaries: While not directly needing the program, Medicare beneficiaries can benefit from the initiatives carried out by ACOs participating in the Medicare Shared Savings Program. By improving care coordination, patients can receive more personalized and comprehensive healthcare services, resulting in better health outcomes, timely interventions, and reduced healthcare costs.

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What is medicare shared savings program?

Medicare Shared Savings Program is a program designed to encourage healthcare providers to work together to improve the quality of care for Medicare fee-for-service beneficiaries and reduce costs.

Who is required to file medicare shared savings program?

Accountable Care Organizations (ACOs) participating in the program are required to file Medicare Shared Savings Program.

How to fill out medicare shared savings program?

ACOs participating in Medicare Shared Savings Program must submit the necessary data and information as required by CMS guidelines.

What is the purpose of medicare shared savings program?

The purpose of Medicare Shared Savings Program is to promote accountability for the care of Medicare beneficiaries, improve the coordination of care for Medicare fee-for-service beneficiaries, and encourage investment in infrastructure and redesigned care processes for high-quality and efficient service delivery.

What information must be reported on medicare shared savings program?

ACOs participating in Medicare Shared Savings Program must report on quality measures, financial performance, beneficiary assignment, and other data as required by CMS.