Elements of Success for Improve Quality and Shared Savings

In contradiction to Centers for Medicare & Medicaid Services (CMS) data, recent studies show that the Medicare Shared Savings Program (MSSP) has generated $1.84 billion in savings from 2013 – 2015 and reduced Medicare spending by $542 million.  How will this data impact the recent CMS proposal to overhaul MSSP with the Pathways to Success Initiative? CMS is receiving a plethora of feedback on its proposal and currently the future of MSSP is unclear.

Regardless of the future of MSSP, these analyses reveal key elements in successfully improving the quality of care while reducing cost that all healthcare organizations should assess:

  • Network Development and Management – How do you connect with your local and regional colleagues/other providers?
  • Care Coordination, Quality Improvement and Utilization Management – How do you coordinate care with other setting types to improve the patient experience and reduce resources?
  • Clinical Improvement Systems – What tools are available to the facility, providers and patients to ensure coordinated care, clear instruction and quality documentation?
  • Data Analytics – What tools do you have to evaluate your facility’s progress?

Even if your organization is not involved in MSSP or an Accountable Care Organization, assessing these elements can prove beneficial to your organization through better documentation, improved communication, complaint practices and revenue capture.

Learn more about our clinical communication tool, DocEdge Communicator at: http://www.providentedge.com/solutions/docedge-communicator/

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