Policy and Advocacy Resources

Table of Contents

COVID-19 and ACOs
MSSP and Next Gen ACOsCompliance and Payment Waivers
Financial Benchmarking
MACRA
Value-based Payment Modifier
Medicare Physician Fee Schedule
CPC+
Bundled Payments
Quality
Other Regulations


COVID-19 and ACOs 

In response to receiving a number of questions related to the 2020 COVID-19 pandemic, NAACOS has developed a fact sheet reviewing information on how ACOs may be affected by the spread of this virus. 

What other resources exist for ACOs?
CMS COVID-19 Emergency Declaration Health Care Providers Fact Sheet (Issued 03/13/2020):https://www.cms.gov/files/document/covid19-emergency-declaration-health-care-providers-fact-sheet.pdf

CMS Coverage and Payment Related to COVID-19 Fact Sheet (Issued 03/05/2020): https://www.cms.gov/files/document/03052020-medicare-covid-19-fact-sheet.pdf

Centers for Disease Control and Prevention (CDC):https://www.cdc.gov/coronavirus/2019-nCoV/index.html

World Health Organization (WHO):https://www.who.int/emergencies/diseases/novel-coronavirus-2019 

Who can I contact to share more information on how COVID-19 is affecting my ACO?
To share more information regarding how COVID-19 is affecting your ACO, please email us at [email protected].

MSSP and Next Generation ACOs 

Compliance and Payment Waivers 

Financial Benchmarking 

  • NAACOS resource on the Effect of Medicare Classifications of ESRD Beneficiaries on ACO Expenditures

  • NAACOS Summary of Final MSSP Benchmarking Rule 

  • NAACOS Benchmarking NPRM Summary  

MACRA

  • NAACOS article on understanding your 2017 MIPS performance information 

  • NAACOS in-depth analysis of the final 2018 QPP rule

  • NAACOS webinars on the final 2018 QPP rule, including a webinar on Advanced APMs and a webinar on MIPS
  • NAACOS Summary of the 2018 Proposed Quality Payment Program (QPP) Rule

  • NAACOS analysis of the final 2017 MACRA regulation, customized specifically for ACOs. To obtain a copy of this in-depth analysis, please visit this webpage

  • NAACOS' Advanced Payment Model (APM) Talking Points 

Value-based Payment Modifier

Medicare Physician Fee Schedule

  • NAACOS Review of ACO Pathways to Success Provisions included in the Medicare Physician Fee Schedule Rule

  • NAACOS summary of 2019 proposed Medicare Physician Fee Schedule and QPP changes

  • NAACOS Final 2018 Medicare Physician Fee Schedule Summary

  • NAACOS releases summary of the 2018 proposed Medicare Physician Fee Schedule Rule

  • NAACOS releases final 2017 Medicare Physician Fee Schedule summary reviewing key changes for ACOs 

  • NAACOS Analysis of the Proposed 2017 Medicare Physician Fee Schedule 

  • Critical Changes in the 2016 Medicare Physician Fee Schedule - NAACOS Summary 

CPC+

  • Primary Care First Model Overview

  • NAACOS resource comparing CPC+ and MSSP, including details on criteria for ACO primary care practices participating in both programs 

Bundled Payments

  • NAACOS summary of CMS’s BPCI Advanced program

  • NAACOS summary of final rule cancelling cardiac EPMs and making changes to CJR

  • NAACOS Summary of the Proposed Rule to Cancel Cardiac and Expanded Joint Replacement Bundled Payment Models

  • NAACOS overview of the final Episode Payment rule 

  • NAACOS Overview of CJR Model 

Quality

  • NAACOS Tool Allows ACOs to Project MIPS Scores Using 2016 ACO Performance Scores

Other Regulations

  • Memo prepared for NAACOS members, “New SAMHSA Rulemaking and Its Potential Impact on Accountable Care Organizations”
  • NAACOS Summary of Accessing Substance Use Disorder Information Final Rule