Click here to close now.


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:

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
Container technology is shaping the future of DevOps and it’s also changing the way organizations think about application development. With the rise of mobile applications in the enterprise, businesses are abandoning year-long development cycles and embracing technologies that enable rapid development and continuous deployment of apps. In his session at DevOps Summit, Kurt Collins, Developer Evangelist at, examined how Docker has evolved into a highly effective tool for application del...
Discussions of cloud computing have evolved in recent years from a focus on specific types of cloud, to a world of hybrid cloud, and to a world dominated by the APIs that make today's multi-cloud environments and hybrid clouds possible. In this Power Panel at 17th Cloud Expo, moderated by Conference Chair Roger Strukhoff, panelists addressed the importance of customers being able to use the specific technologies they need, through environments and ecosystems that expose their APIs to make true ...
In recent years, at least 40% of companies using cloud applications have experienced data loss. One of the best prevention against cloud data loss is backing up your cloud data. In his General Session at 17th Cloud Expo, Sam McIntyre, Partner Enablement Specialist at eFolder, presented how organizations can use eFolder Cloudfinder to automate backups of cloud application data. He also demonstrated how easy it is to search and restore cloud application data using Cloudfinder.
With major technology companies and startups seriously embracing IoT strategies, now is the perfect time to attend @ThingsExpo 2016 in New York and Silicon Valley. Learn what is going on, contribute to the discussions, and ensure that your enterprise is as "IoT-Ready" as it can be! Internet of @ThingsExpo, taking place Nov 3-5, 2015, at the Santa Clara Convention Center in Santa Clara, CA, is co-located with 17th Cloud Expo and will feature technical sessions from a rock star conference faculty ...
Internet of @ThingsExpo, taking place June 7-9, 2016 at Javits Center, New York City and Nov 1-3, 2016, at the Santa Clara Convention Center in Santa Clara, CA, is co-located with the 18th International @CloudExpo and will feature technical sessions from a rock star conference faculty and the leading industry players in the world and ThingsExpo New York Call for Papers is now open.
The cloud. Like a comic book superhero, there seems to be no problem it can’t fix or cost it can’t slash. Yet making the transition is not always easy and production environments are still largely on premise. Taking some practical and sensible steps to reduce risk can also help provide a basis for a successful cloud transition. A plethora of surveys from the likes of IDG and Gartner show that more than 70 percent of enterprises have deployed at least one or more cloud application or workload. Y...
Cloud computing delivers on-demand resources that provide businesses with flexibility and cost-savings. The challenge in moving workloads to the cloud has been the cost and complexity of ensuring the initial and ongoing security and regulatory (PCI, HIPAA, FFIEC) compliance across private and public clouds. Manual security compliance is slow, prone to human error, and represents over 50% of the cost of managing cloud applications. Determining how to automate cloud security compliance is critical...
Growth hacking is common for startups to make unheard-of progress in building their business. Career Hacks can help Geek Girls and those who support them (yes, that's you too, Dad!) to excel in this typically male-dominated world. Get ready to learn the facts: Is there a bias against women in the tech / developer communities? Why are women 50% of the workforce, but hold only 24% of the STEM or IT positions? Some beginnings of what to do about it! In her Day 2 Keynote at 17th Cloud Expo, San...
As organizations shift towards IT-as-a-service models, the need for managing & protecting data residing across physical, virtual, and now cloud environments grows with it. CommVault can ensure protection & E-Discovery of your data - whether in a private cloud, a Service Provider delivered public cloud, or a hybrid cloud environment – across the heterogeneous enterprise.
In his keynote at @ThingsExpo, Chris Matthieu, Director of IoT Engineering at Citrix and co-founder and CTO of Octoblu, focused on building an IoT platform and company. He provided a behind-the-scenes look at Octoblu’s platform, business, and pivots along the way (including the Citrix acquisition of Octoblu).
In his General Session at DevOps Summit, Asaf Yigal, Co-Founder & VP of Product at, explored the value of Kibana 4 for log analysis and provided a hands-on tutorial on how to set up Kibana 4 and get the most out of Apache log files. He examined three use cases: IT operations, business intelligence, and security and compliance. Asaf Yigal is co-founder and VP of Product at log analytics software company In the past, he was co-founder of social-trading platform Currensee, which...
Today air travel is a minefield of delays, hassles and customer disappointment. Airlines struggle to revitalize the experience. GE and M2Mi will demonstrate practical examples of how IoT solutions are helping airlines bring back personalization, reduce trip time and improve reliability. In their session at @ThingsExpo, Shyam Varan Nath, Principal Architect with GE, and Dr. Sarah Cooper, M2Mi’s VP Business Development and Engineering, explored the IoT cloud-based platform technologies driving t...
There are over 120 breakout sessions in all, with Keynotes, General Sessions, and Power Panels adding to three days of incredibly rich presentations and content. Join @ThingsExpo conference chair Roger Strukhoff (@IoT2040), June 7-9, 2016 in New York City, for three days of intense 'Internet of Things' discussion and focus, including Big Data's indespensable role in IoT, Smart Grids and Industrial Internet of Things, Wearables and Consumer IoT, as well as (new) IoT's use in Vertical Markets.
The Internet of Things (IoT) is growing rapidly by extending current technologies, products and networks. By 2020, Cisco estimates there will be 50 billion connected devices. Gartner has forecast revenues of over $300 billion, just to IoT suppliers. Now is the time to figure out how you’ll make money – not just create innovative products. With hundreds of new products and companies jumping into the IoT fray every month, there’s no shortage of innovation. Despite this, McKinsey/VisionMobile data...
We all know that data growth is exploding and storage budgets are shrinking. Instead of showing you charts on about how much data there is, in his General Session at 17th Cloud Expo, Scott Cleland, Senior Director of Product Marketing at HGST, showed how to capture all of your data in one place. After you have your data under control, you can then analyze it in one place, saving time and resources.