Types of ACO Participants or Combinations of Participants that Formed the ACO

• ACO professionals in a group practice arrangement
• Hospital employing ACO professionals
• Network of individual practices of ACO professionals

Shared Savings and Losses

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• N/A

Shared Savings Distribution

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• N/A

Payment Rule Waivers

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• McLeod Healthcare Network, LLC does not utilize the SNF 3-Day Rule Waiver

Quality Performance Results

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• Our ACO did not participate in the Shared Savings Program in the previous performance year, therefore this section is not applicable at this time.

Public Disclosure Language for MSSP ACO Waivers

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• Pursuant to Section 1899(f) of the Social Security Act (42 U.S.C. § 1395jjj) the Secretary of the Department of Health and Human Services has made available certain waivers of federal fraud and abuse laws in connection with the operation of accountable care organizations that have entered into a participation agreement, as defined under 42 C.F.R. § 425.20, under the Medicare Shared Savings Program (“MSSP”) with the Centers for Medicare & Medicaid Services (“CMS”). To avail itself of the Participation Waiver, the board of McLeod Health Network, LLC (“the ACO”), has made a good faith determination that the following arrangements are reasonably related to the purposes of the Medicare Shared Savings Program (MSSP) (and the Triple Aim of better health for individuals, better health for populations, and lowered growth in expenditures) and is publically disclosing such arrangements in accordance with the requirements of the MSSP.

Assistance with MSSP Quality Measure Tracking and Reporting.

The ACO will provide support to independent practices with the goal of meeting requirements for reporting on the MSSP’s quality and cost measures. Specifically, the ACO may support independent practices with:

 – The creation of reports in their EMR related to the ACO’s quality program

 – Quality data extraction from their EMR to support the ACO’s quality program

 – EMR workflow improvement specifically related to quality metric tracking related to the ACO’s quality program

 – Training on workflow for capturing quality metrics in the ACO’s quality program

 – Advancing Care Information attestation support to improve the ACO’s collective performance

 – Correspondence with EMR vendor for purposes of creating reports and extracting quality data for the ACO’s quality program

Outpatient Case Management

The ACO will provide outpatient case management for a limited period of time to beneficiaries who are considered high risk for healthcare complications as determined by an appropriate algorithm. This effort will achieve triple aim results through enhanced care coordination with the goal of reducing the incidence of healthcare complications.

Revised on 12/6/18