Premier Comments on Pending ACO Rules
As the Centers for Medicare and Medicaid Services prepares rules to govern accountable care organizations, provider alliance Premier Inc. calls for CMS to ensure that data across Medicare Parts A, B and D are shared with accountable care organizations on a timely basis.
As the Centers for Medicare and Medicaid Services prepares rules to govern accountable care organizations, provider alliance Premier Inc. calls for CMS to ensure that data across Medicare Parts A, B and D are shared with accountable care organizations on a timely basis.
"Because ACOs are taking on responsibility for an entire population, it is critical to know what items and services the beneficiaries are receiving outside of the ACO provider network," according to Charlotte, N.C.-based Premier.
Further, CMS should structure the ACO quality reporting requirement "to satisfy" the Hospital Inpatient Quality Reporting Program, Physician Quality Reporting Initiative and electronic health records meaningful use programs, according to Premier. "It will be very difficult for providers to meet disparate requirements across all these programs, all of which have payment implications."
The organization in a 43-page comment letter also makes recommendations covering beneficiaries, clinicians, structural models of ACOs, payment models, legal issues and Medicaid ACOs. For a summary, click here.
---Joseph Goedert
"Because ACOs are taking on responsibility for an entire population, it is critical to know what items and services the beneficiaries are receiving outside of the ACO provider network," according to Charlotte, N.C.-based Premier.
Further, CMS should structure the ACO quality reporting requirement "to satisfy" the Hospital Inpatient Quality Reporting Program, Physician Quality Reporting Initiative and electronic health records meaningful use programs, according to Premier. "It will be very difficult for providers to meet disparate requirements across all these programs, all of which have payment implications."
The organization in a 43-page comment letter also makes recommendations covering beneficiaries, clinicians, structural models of ACOs, payment models, legal issues and Medicaid ACOs. For a summary, click here.
---Joseph Goedert
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