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

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

TINS

physicians and non-physicians

hospitals

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.

Physician Resources

Types of Reporting

2023 ACO Participants

Why Should You Partner With Empire State Health Partners ACO?

Recognizing Our Valued Partners

Multi Medical Physican Services, LLC

DeLeo Family Medicine

Oldendorf Medical Services, LLC

Family Medical Care Associates, LLC

America’s MDE, LLC (AMDE)

Health Endeavors, LLC