Medicare Shared Savings Program

“Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.”

FRAUD AND ABUSE WAIVERS

• ACO Participation Waiver
  • HIE      8/14/2014     To further the purposes of the MSSP and the clinical integration efforts of MHP and its participants, the MHP Board of Directors authorizes the provision of the required connectivity to the Mission health System HIE for all network participants and their employed providers at no cost in order to facilitate the exchange of data necessary to evaluate and measure the quality outcomes of all network participants according to the requirements of the MSSP.
  • Quality Incentive Program     4/11/2016   A Quality Incentive Program that is designed to incentivize quality improvement behaviors among network providers, set a culture of communication and collaboration, build infrastructure and establish goodwill by providing financial incentives to providers who meet or exceed pre-established connectivity, reporting and quality metrics.  The Quality Incentive Program will contribute to the promotion of high quality and efficient care to network patients by encouraging providers to adhere to quality metrics and facilitate management and coordination of care.
  • Clinical Documentation Integrity “CDI” Services    8/11/2016     Clinical Documentation Integrity “CDI” services which will include documentation specificity queries, code reviews, data analysis and education on findings related to documentation requirements and tools to support processes.  These services will ensure that accurate documentation and code capture is at the most appropriate delivery of quality care.    
• Patient Incentive Waiver 
  • Patient Transportation Program     3/9/2017   Mission Health Partners is implementing a program designed to assist high-risk patients with transportation to appointments for follow-up care (the “Program”). Mission Health Partners’ Board of Directors, by means of a duly authorized resolution, determined that the Program is reasonably related to the purposes of the Medicare Shared Savings Program (“MSSP”). The Program will advance MHP’s clinical goals by helping patients adhere to a treatment or drug regime or follow-up care plan, or to facilitate management of a chronic disease. The Program will improve access to primary care, particularly for patients who have often had great difficulty getting to appoints. Reducing barriers to care such as transportation helps MHP meet the goals of improving cost and quality of care. The MHP Board of Directors has invoked the ACO Patient Incentives Waiver for the Program.