Readiness Analysis Process

We provide ACOs information needed to move forward

As MSSP Track 1 ACOs carefully consider the investment required to successfully move to ACO Track 1+, it is important to understand how well the ACO organization’s operations, IT support systems, and clinical strategies align with the transition from “upside share only” to the “loss share” element in 2018. We have developed the Readiness Analysis Process (RAP), a 14-day engagement, to provide ACOs information needed to move forward.

The Centers for Medicare and Medicaid Services (CMS) recently released details on the new Accountable Care Organization (ACO) model “Track 1+,” which will qualify as an advanced Alternative Payment Model (APM) in 2018. Track 1+ is a hybrid of the existing Medicare Shared Savings Program (MSSP) models Track 1 and Track 3.

More information about the application process is forthcoming but organizations currently in a Track 1 ACO must submit Notice of Intent to Apply (NOIA) in May 2017 and must complete the Shared Savings Program application process. The short timeline to file the NOIA and Application for ACO 1+ imposed by CMS requires accurate and rapid analysis of the organizations current success and gaps.

In response to the filing cycle timeframe, we developed the RAP for the Track 1+ program to give you a quick but detailed answer on your ACO’s readiness for downside risk. We can provide an independent risk benefit analysis or validation of your analysis. The team includes former hospital, health plan and financial executives who have developed successful Pioneer, Next Generation and Track 1, 2 and 3 ACOs and bundled payments.

Our Analysis Process Includes:

Our qualified team will provide a RAPID and EFFICIENT analysis of your ACO’s current financial and operational readiness to meet the CMS requirements for ACO Track 1+ and will focus on the potential downside-risk impact.

RAP team will engage within 3 working days of a signed Statement of Work

We will request a short list of documents from you that we will need to conduct our analysis

RAP will conclude within one week of the date of receipt of required information

Deliverables will be received by your ACO within 5 business days of the conclusion of the readiness assessment

Deliverables:

Written report and recommendations that include the summary of our assessment

Identification of critical areas of strengths and gaps related to your ACO Track 1+ strategy

Financial analysis and modeling of your ACO Track 1+

A proposal to assist you in the NOIA and Application process

Contact us to help guide you

through the eligibility process