A true Affordable Care Act success story

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Physician Resources

Whether or not you partner with Empire State Health Partners ACO, we want to support you in an increasingly challenging regulatory and financial environment. As you seek to maintain your practice’s independence and financial soundness, this information may prove helpful.

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Types of Reporting

Medicare requires practices to engage in numerous types of reporting, and while you are working to keep your practice going and provide the best care to your patients, it can be hard to keep track. Here are some examples of the reporting you may need to do:

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Medicare Access and CHIP Reauthorization Act (MACRA) mandated quality reporting Merit-Based Incentive Payment System (MIPS) mandated quality reporting Patient-Centered Medical Home Certification Annual Reporting HCC Coding
Centers for Medicare & Medicaid Services (CMS).

  • “Merit-Based Incentive Payment System (MIPS) Overview.” See
  • “Merit-Based Incentive Payment System (MIPS) Overview.” Accessed January 2022. See
  • “Accountable Care Organizations (ACOs).” Accessed January 2022. See
  • “Chronic Care Management Services.” Accessed January 2022. See
Agency for Healthcare Research and Quality (AHRQ).

  • “Patient-Centered Medical Home Resource Center.” Accessed January 2022. See
Office of the National Coordinator for Health Information Technology (ONC).

  • “Health Information Exchange (HIE).” Accessed January 2022. See
American Academy of Family Physicians (AAFP).

  • “Population Health Management.” Accessed January 2022. See

… and more, as regulations are constantly changing.

2023 ACO Participants

physicians and non-physicians

Why Should You Partner With Empire State Health Partners ACO?

Payment has changed. Working with Empire State Health Partners positions you for success within a payment model determined by quality scores and relative costs of your patients.

To achieve this benefit, we will work with your office staff to accomplish the following:

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Quality scores in the 80th to 90th percentile.

Promote annual wellness visits.

Gather data to understand where your patients are more expensive than regional and national averages (e.g., certain diseases, post-acute care, drugs, DME, etc.) and deploy strategies to constrain those costs.

Coordinate care for your chronically ill patients.

Qualify for Patient Centered Medical Home Certification.

Get complete claims data from all sources on your Medicare patients so that you better understand the full spectrum of health care services they use and frequently do not report to their physician.

Get drug refill information on your patients.

Gain access to similar shared savings programs with other payers.

Be as ready as possible for future value-based payments.

Recognizing Our Valued Partners

We pride ourselves on being a dynamic, yet growing, network. As more practices join us, we pledge to maintain the level of attentiveness and support that has been a hallmark of our organization since its founding.

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Multi Medical Physican Services, LLC

DeLeo Family Medicine

DeLeo Family Medicine

Oldendorf Medical Services (OMS)

Oldendorf Medical Services, LLC

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Family Medical Care Associates, LLC

America's MDE: Medicare Direct Entity

America’s MDE, LLC (AMDE)

Health Endeavors

Health Endeavors, LLC