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1 Medicare Shared Savings Program Application Review June 20, 2013, Presented by CMS 2 Medicare Learning Network This National Provider Call is brought to you by the Medicare Learning Network (MAN)*,

How to fill out medicare shared savings program

How to fill out Medicare Shared Savings Program:

1. Determine eligibility: Before filling out the Medicare Shared Savings Program, it is important to determine if you are eligible for the program. Eligibility criteria can include being a Medicare provider or supplier, meeting specific quality and reporting requirements, and having an assigned National Provider Identifier (NPI).
2. Choose participation option: Once determined to be eligible, you must choose the appropriate participation option in the program. There are three available tracks: Track 1, Track 2, and Track 3. Each track has different requirements and potential financial risk and reward structures. Carefully review the options and select the one that best suits your organization's goals and capabilities.
3. Review program guidelines: Thoroughly read and understand the program guidelines provided by the Centers for Medicare and Medicaid Services (CMS). These guidelines outline the specific requirements, reporting obligations, quality measures, and financial arrangements associated with the Medicare Shared Savings Program. It is essential to comply with these guidelines to ensure successful participation.
4. Submit application: Complete the application provided by CMS for the Medicare Shared Savings Program. The application will require detailed information about your organization, including its legal structure, address, NPI, tax identification number, and more. Ensure all required fields are accurately filled out to avoid potential delays or rejection of your application.
5. Develop care coordination strategies: As part of the Medicare Shared Savings Program, participating organizations are encouraged to implement care coordination strategies to improve the quality and efficiency of healthcare delivery. Develop and document your organization's care coordination initiatives, including processes for managing patient referrals, ensuring timely communication, and promoting effective collaboration among healthcare providers.
6. Start reporting quality measures: To track and measure your organization's performance, you will need to report quality measures to CMS. Familiarize yourself with the specific quality measures relevant to your chosen track and develop systems to collect and report data effectively. This may require integrating electronic health record systems or implementing other data collection mechanisms.

Who needs Medicare Shared Savings Program:

1. Healthcare providers and suppliers: The Medicare Shared Savings Program is primarily designed for healthcare providers and suppliers who participate in the Medicare program. This includes accountable care organizations (ACOs), hospitals, physician groups, and other eligible healthcare entities.
2. Organizations seeking financial incentives: Participating in the Medicare Shared Savings Program can provide financial incentives to eligible organizations. These incentives are tied to achieving quality and cost-saving goals. Organizations interested in exploring these financial opportunities may consider applying for the program.
3. Entities committed to improving healthcare quality: The Medicare Shared Savings Program aims to improve healthcare quality, coordination, and patient outcomes. Organizations with a strong commitment to enhancing patient care and meeting quality metrics may find value in participating in the program.
4. Health systems focusing on population health management: Population health management involves addressing the health needs of a specific population group. Medicare Shared Savings Program provides an avenue for health systems and organizations interested in pursuing population health initiatives to collaborate with Medicare and improve the health of their assigned beneficiaries.

In conclusion, filling out the Medicare Shared Savings Program involves determining eligibility, choosing the right participation option, reviewing guidelines, submitting the application, developing care coordination strategies, and reporting quality measures. The program is targeted towards healthcare providers and suppliers seeking financial incentives, committed to improving healthcare quality, and focusing on population health management.

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What is medicare shared savings program?

Medicare Shared Savings Program is designed to promote accountability for patient populations, coordinate care, and encourage investment in infrastructure and redesigned care processes.

Who is required to file medicare shared savings program?

Accountable Care Organizations (ACOs) are required to file for Medicare Shared Savings Program.

How to fill out medicare shared savings program?

To fill out Medicare Shared Savings Program, ACOs must submit data on quality measures, financial data, and other required information to CMS.

What is the purpose of medicare shared savings program?

The purpose of Medicare Shared Savings Program is to improve the quality of care for Medicare beneficiaries and reduce unnecessary costs.

What information must be reported on medicare shared savings program?

ACOs must report on quality measures, financial data, and other information related to the care of Medicare beneficiaries.