Join Queen’s MSSP ACO

Who Can Join the MSSP ACO?

Any provider or practice participating in Medicare fee-for-service who is not in another Medicare Shared Savings Program and is interested in improving quality and coordination of care. In some cases, specialists can be in more than one Medicare Shared Savings Program ACO.

Why Should I Join the MSSP ACO?

1. Improved patient care for Medicare fee-for-service beneficiaries through effective and efficient provider collaboration and MSSP ACO support services.

2. No individual MIPS reporting and certain advantages in MIPS scoring

  • Group reporting only: The Queen’s MSSP ACO submits quality measures for the group and ACO participants don’t need to report individually.
  • Medicare gives MSSP ACO providers certain advantages that could provide opportunities to score higher on MIPS than if reporting individually.

3. Potentially better scores on Medicare’s Physician Compare website

  • MSSP ACO members have automatic advantages that include a better chance of improved Physician Compare scores than those who choose not to submit MIPS reporting or do poorly.
  • Consumers will be able to see providers’ MIPS scores and ranges in each category and compared to peers nationally.

4. Better management of your Medicare fee-for-service patient panel
Services that can improve patient care, such as analyzing and acting on patient data and clinical care coordination for high-risk patients, can be provided at no cost for Medicare FFS beneficiaries.

5. Potential for shared savings
If there are cost savings derived from the work, the savings are allowed to be shared with ACO participants as determined by the Queen’s MSSP ACO Board.

What Else Do I Need to Know?

How does this affect Primary Care First participants?
Primary Care First participants need to weigh the pros and cons of participating in the Queen’s Medicare Shared Savings program ACO based on their own practices. To discuss your particular situation, please email [email protected] or call (808) 691-7220. 

How is the program different for specialists?
Specialists participation depends on several factors related to the specific practice, their goals, and the structure of the Queen’s MSSP ACO. To discuss your particular situation, please email [email protected] or call (808) 691-7220. We’ll have sessions just for specialists interested in the MSSP ACO.

Does joining cost anything?

  • There are no financial costs to join. Providers do need to agree to provide care and services that improve the quality of care for Medicare FFS beneficiaries.
  • To help with quality metrics and reporting, there will be a requirement to use an electronic medical record system, preferably one that has or will be able to be integrated with the Queen’s Enterprise Data warehouse.
  • If there are ACO participants found to be challenged by the quality requirements, there will be a mechanism in place for developing a performance improvement plan for assistance.

What are you waiting for?

Join Today!

If you are interested in joining QCIPN please contact us to learn more.

Email: [email protected] 
Phone: 808-691-7220
Fax: 808-691-4023