Welcome!

News Feed Item

The National Association of ACOs (NAACOS) Calls for a Moratorium on Proposed Changes to the ACO Quality Measures

WASHINGTON, Sept. 3, 2014 /PRNewswire-USNewswire/ -- In the 2015 Physician Fee Schedule Proposed Rule, CMS detailed substantial changes to the Medicare Shared Savings Program quality measures and performance benchmarks. Yesterday, NAACOS submitted its comments in response to the proposed rule. (Our comments can be found at: www.NAACOS.com.)

CMS proposed to add 12 new measures and delete eight, increasing the measure set from 33 to 37. CMS also proposed changes in the diabetes and coronary artery disease composite scores and sought comment on future measures in eight categories. Concerning the quality performance benchmarks, CMS proposed to update them every two years and proposed rewarding a modest number of bonus points for year-over-year improvement to help ACOs more readily meet their quality performance benchmarks.

Unfortunately, NAACOS finds the vast majority of the proposed new quality measures to be unnecessary, inadequately defined or tested, methodologically unsound, questionably related to improving care quality or patient outcomes, or beyond an ACO's control. Proposing to change 20 of the 33 measures would mean all ACOs would have to make substantial changes to their clinical practice, data collection and reporting schemes and all would have to do so while still in their first three-year contract period. "For the vast majority of ACOs, they would be facing even more measures before they were given an opportunity to achieve success under the current measure set," commented Clif Gaus, NAACOS CEO, "and for those ACOs looking to renew their three year contract in 2016, they would be facing downside financial risk as well as new quality performance benchmarks."

Concerning the proposed changes to include quality improvement in the benchmarking, Clif Gaus stated, "NAACOS applauds CMS for recognizing the importance of quality "improvement" not just attainment but the proposal needs to be strengthened." Since the science of comparing or evaluating physician performance is still evolving, "CMS should focus," Gaus stated, "on rewarding ACOs for improving their own quality from year to year. This would produce the best outcome for the patient."

Finally, it is important to note CMS is asking the ACO provider community to comment on proposed changes to the quality measure set while it remains unknown what larger or broader reforms CMS will propose under a delayed, but still anticipated, ACO proposed rule.

For these reasons and others, NAACOS concludes in its 10-page comment letter that CMS place a near-term moratorium on implementing new ACO quality measures until at least the provider community can comment on CMS's proposed changes, in sum, to the ACO program. NAACOS is hopeful CMS will soon propose new ways to stabilize beneficiary attribution, improve financial benchmarking and risk adjustment particularly for more complex patients, reduce the Minimum Savings Rate, reconsider downside risk for ACOs entering a second contract and provide more timely data to help ACOs better care for their patients.

Because NAACOS is fundamentally in agreement with MedPAC and numerous others that CMS's quality measurement program is already too burdensome and too process measure oriented, NAACOS is inviting CMS to work NAACOS, other ACO stakeholders and the patient community to develop a more parsimonious list of quality measures that are more patient outcome and population based.

SOURCE National Association of ACOs

More Stories By PR Newswire

Copyright © 2007 PR Newswire. All rights reserved. Republication or redistribution of PRNewswire content is expressly prohibited without the prior written consent of PRNewswire. PRNewswire shall not be liable for any errors or delays in the content, or for any actions taken in reliance thereon.

Latest Stories
Much of the value of DevOps comes from a (renewed) focus on measurement, sharing, and continuous feedback loops. In increasingly complex DevOps workflows and environments, and especially in larger, regulated, or more crystallized organizations, these core concepts become even more critical. In his session at @DevOpsSummit at 18th Cloud Expo, Andi Mann, Chief Technology Advocate at Splunk, showed how, by focusing on 'metrics that matter,' you can provide objective, transparent, and meaningful f...
Fifty billion connected devices and still no winning protocols standards. HTTP, WebSockets, MQTT, and CoAP seem to be leading in the IoT protocol race at the moment but many more protocols are getting introduced on a regular basis. Each protocol has its pros and cons depending on the nature of the communications. Does there really need to be only one protocol to rule them all? Of course not. In his session at @ThingsExpo, Chris Matthieu, co-founder and CTO of Octoblu, walk you through how Oct...
There is little doubt that Big Data solutions will have an increasing role in the Enterprise IT mainstream over time. Big Data at Cloud Expo - to be held November 1-3, 2016, at the Santa Clara Convention Center in Santa Clara, CA - has announced its Call for Papers is open. Cloud computing is being adopted in one form or another by 94% of enterprises today. Tens of billions of new devices are being connected to The Internet of Things. And Big Data is driving this bus. An exponential increase is...
The Transparent Cloud-computing Consortium (abbreviation: T-Cloud Consortium) will conduct research activities into changes in the computing model as a result of collaboration between "device" and "cloud" and the creation of new value and markets through organic data processing High speed and high quality networks, and dramatic improvements in computer processing capabilities, have greatly changed the nature of applications and made the storing and processing of data on the network commonplace.
SYS-CON Events announced today that Commvault, a global leader in enterprise data protection and information management, has been named “Bronze Sponsor” of SYS-CON's 19th International Cloud Expo, which will take place on November 1–3, 2016, at the Santa Clara Convention Center in Santa Clara, CA. Commvault is a leading provider of data protection and information management solutions, helping companies worldwide activate their data to drive more value and business insight and to transform moder...
SYS-CON Events announced today that China Unicom will exhibit at the 19th International Cloud Expo, which will take place on November 1–3, 2016, at the Santa Clara Convention Center in Santa Clara, CA. China United Network Communications Group Co. Ltd ("China Unicom") was officially established in 2009 on the basis of the merger of former China Netcom and former China Unicom. China Unicom mainly operates a full range of telecommunications services including mobile broadband (GSM, WCDMA, LTE F...
SYS-CON Events announced today the Enterprise IoT Bootcamp, being held November 1-2, 2016, in conjunction with 19th Cloud Expo | @ThingsExpo at the Santa Clara Convention Center in Santa Clara, CA. Combined with real-world scenarios and use cases, the Enterprise IoT Bootcamp is not just based on presentations but with hands-on demos and detailed walkthroughs. We will introduce you to a variety of real world use cases prototyped using Arduino, Raspberry Pi, BeagleBone, Spark, and Intel Edison. Y...
Major trends and emerging technologies – from virtual reality and IoT, to Big Data and algorithms – are helping organizations innovate in the digital era. However, to create real business value, IT must think beyond the ‘what’ of digital transformation to the ‘how’ to harness emerging trends, innovation and disruption. Architecture is the key that underpins and ties all these efforts together. In the digital age, it’s important to invest in architecture, extend the enterprise footprint to the cl...
I’m going to cry tonight, long and hard. I’ll do so as I remember and mourn Jeremy Geelan. I knew Jeremy for almost 20 years, from the time he showed up one day at Cloud Expo’s headquarters in Bergen County, New Jersey, and went to work. The show wasn’t called Cloud Expo then, of course – it was still known as Java Edge, a pioneering event that grabbed developers, architects, and enterprise IT users alike for twice-yearly confabs. Jeremy didn’t have a job there, or even a job offer. He was s...
Video experiences should be unique and exciting! But that doesn’t mean you need to patch all the pieces yourself. Users demand rich and engaging experiences and new ways to connect with you. But creating robust video applications at scale can be complicated, time-consuming and expensive. In his session at @ThingsExpo, Zohar Babin, Vice President of Platform, Ecosystem and Community at Kaltura, will discuss how VPaaS enables you to move fast, creating scalable video experiences that reach your...
Creating replica copies to tolerate a certain number of failures is easy, but very expensive at cloud-scale. Conventional RAID has lower overhead, but it is limited in the number of failures it can tolerate. And the management is like herding cats (overseeing capacity, rebuilds, migrations, and degraded performance). Download Slide Deck: ▸ Here In his general session at 18th Cloud Expo, Scott Cleland, Senior Director of Product Marketing for the HGST Cloud Infrastructure Business Unit, discusse...
In his keynote at 18th Cloud Expo, Andrew Keys, Co-Founder of ConsenSys Enterprise, provided an overview of the evolution of the Internet and the Database and the future of their combination – the Blockchain. Andrew Keys is Co-Founder of ConsenSys Enterprise. He comes to ConsenSys Enterprise with capital markets, technology and entrepreneurial experience. Previously, he worked for UBS investment bank in equities analysis. Later, he was responsible for the creation and distribution of life sett...
SYS-CON Events announced today that Tintri Inc., a leading producer of VM-aware storage (VAS) for virtualization and cloud environments, will exhibit at the 19th International Cloud Expo, which will take place on November 1–3, 2016, at the Santa Clara Convention Center in Santa Clara, CA. Tintri VM-aware storage is the simplest for virtualized applications and cloud. Organizations including GE, Toyota, United Healthcare, NASA and 6 of the Fortune 15 have said “No to LUNs.” With Tintri they mana...
DevOps at Cloud Expo, taking place Nov 1-3, 2016, at the Santa Clara Convention Center in Santa Clara, CA, is co-located with 19th Cloud Expo and will feature technical sessions from a rock star conference faculty and the leading industry players in the world. The widespread success of cloud computing is driving the DevOps revolution in enterprise IT. Now as never before, development teams must communicate and collaborate in a dynamic, 24/7/365 environment. There is no time to wait for long dev...
DevOps at Cloud Expo – being held November 1-3, 2016, at the Santa Clara Convention Center in Santa Clara, CA – announces that its Call for Papers is open. Born out of proven success in agile development, cloud computing, and process automation, DevOps is a macro trend you cannot afford to miss. From showcase success stories from early adopters and web-scale businesses, DevOps is expanding to organizations of all sizes, including the world's largest enterprises – and delivering real results. Am...