Page 4 - SOUTH FLORIDA HOSPITAL NEWS MAY 2022

ACO and MIPS Practices Get Extra

Benefit from Next Gen CCM

Medical practices have an
opportunity to significantly
increase income by participat-
ing in Medicare Chronic Care
Management (CCM), especial-
ly given the large 2022 increase
in payments (up to 52%) for
these services.
Additionally, Your Doctor In
Touch (YDIT) provides a Next
Gen CCM program offering an
innovative value-added service
to help ensure practices partici- BY RICHARD GROSSO, CEO, AND SCOTT RICE,
pating in a Medicare value- MD, PHD, MBA, MS
based payment program, such
as an Accountable Care
Organization (ACO) or the Merit-Based must therefore outsource CCM services.

Payment System (MIPS), to receive maxi- Next Gen CCM Innovation
mum incentive payments.
Although the financial success of most The YDIT Next Gen CCM program
ACOs makes a compelling case for prac- not only delivers traditional CCM servic-
tices to participate in one of these pro- es, but also tracks and monitors required
grams, many primary care practices in an QMs for both ACO-affiliated and MIPS-
ACO are challenged by the burden to meet participating practices. This value-added
required quality measures (QMs). service therefore mitigates the challenges
Similarly, many primary care practices par- related to meeting required quality meas-
ticipating in the Medicare Incentive ures, one of the greatest barriers to par-
Payment System (MIPS) program are chal- ticipation and retention of practices in a
lenged to meet and report quality meas- Medicare value-based payment program
ures that earn sufficient points to receive intended to help practices provide high
incentive payments. value care.

Medicare CCM Value Summary
Participation in Medicare Chronic Care Medical practices participating in both
Management (CCM) provides a golden a Medicare value-based payment pro-
opportunity for all medical practices to gram and Next Gen CCM will increase
generate greater income, improve patient income through reimbursement for
outcomes, and increase patient engage- delivered CCM and enhanced incentive
ment. These positive results will in turn payments, while reducing physician
enhance the patient care experience, challenges. More importantly, enrolled
improve the enrolled population’s health, patients receive significant health and
increase physician satisfaction, and reduce financial benefits, and increase engage-
utilization of expensive health care servic- ment in their care.
es, thereby meeting the Quadruple Aim.
However, most medical practices lack the For more information, please contact
resources and capabilities required to Richard Grosso at richard.g@ynit.us
deliver Medicare CCM on their own and or (561) 935-9300.

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4 May 2022 southfloridahospitalnews.com South Florida Hospital News