Accountable Care Organizations (ACOs) continue to grow for Medicare fee-for-service participants.  Unfortunately, most ACOs do not meaningfully include skilled nursing facilities as they are originated by a physician practice or hospital.  Meanwhile, skilled nursing facilities are targeted for their variations in cost of care, length of stay, and hospitalization rates.   Recognizing these realities, Mark Klyczek Consulting is able to assist you in developing an ACO strategy that is complementary to VBP, ISNP, and 5 Star Quality Measures, and helps to secure performance-based payments for the facility.

We can develop a strategy that addresses the following key areas:

• Identifying ACOs operating in your area
• Perform an analysis to identify the best ACO options for the facility
• Engage the medical staff to be partners in improving quality and ACO facility payments
• Develop an ACO strategy which will be complementary to your existing ISNP, VBP, and CMS 5 Star Quality Measures strategy
• Negotiate parameters for the facility to receive payments for delivering quality care

ACO participation and quality incentive payments are additional factors to consider in your Medicaid reimbursement strategy.  Depending on the number of covered lives, ACO payments can be substantial and help offset direct care costs, supporting quality improvement initiatives by being paid for delivering high-quality care.