1. Experience of Care Coordination Survey
Our annual Experience of Care Coordination Survey is now underway to help OneCare understand how the perception of care for individuals being care managed in 2023 compares to data from past years. Each health service area (HSA) is responsible for collecting a minimum of 35 surveys. Survey data is due November 6, 2023. Materials have been sent to the care coordination contacts at each organization. If you have questions or need materials, please email: firstname.lastname@example.org.
2. Qualifying All-Payer Model Qualified Participant Status – Second Snapshot for Performance Year 2023
The Centers for Medicare & Medicaid Services (CMS) has updated the Quality Payment Program (QPP) Participation Status Tool based on the second snapshot of data from Alternative Payment Model (APM) entities data. The snapshot includes Medicare Part B claims data for service dates January 1, 2023 thru June 30, 2023.
Clinicians who participate in an APM and achieve certain thresholds, may be eligible for Qualified Participant (QP) or Partial Qualified Participant (PQ) status. For those participants who achieve QP status they will be eligible for a 3.5% APM incentive bonus, APM specific rewards and are exempt from participating in MIPS reporting. Providers not affiliated with a hospital, independent primary care practice or FQHC may be designated as a preferred provider for the 2023 performance year and will be required to report in all four-performance categories for MIPS unless they achieve a MIPS exemption outlined on the QPP portal.
Eligible clinicians should check their Qualified Participant (QP) or Partial Qualified Participant (PQ) status through the QPP look up tool by accessing the following link: https://qpp.cms.gov/participation-lookup. We recommend that all OneCare participants and preferred providers confirm their status by using the look-up tool to determine whether QP status has been achieved and if there are any reporting requirements.
For questions about MIPS participation or the QPP program, please contact Shawntel Burke via email; Shawntel.email@example.com.
3. Arcadia’s Initial ‘Primary Care’ Report Available on the Secure Portal
This initial report, which contains Medicaid data only and focuses on the 2024 Population Health Model measures, is intended as a preview of what is to come in 2024. Next year, you will receive quarterly, practice-level reports, with Medicare, Medicaid, and MVP data. You can also anticipate one additional release of the 2023 performance reports later in November. Please contact firstname.lastname@example.org with any questions.
4. Health Literacy: What is it and Why Does it Matter?
Register today for health literacy training. This training will review the concepts of health literacy and how an individual’s literacy skills affect their interactions with providers and their health outcomes. Participants will learn to assess a person’s current health literacy as well as tools to enhance your organization’s adherence to best practices in the field. The training will be held on December 6 from noon – 1 pm.
5. Population Health Model Reports and Training
2023 PHM Q3 Performance Reports will be available on OneCare’s secure portal on November 10 2023. Join us on November 14 from 10:00am to 11:00am to hear more about PHM 2024. Click here to register.
FAQ of the Month
What is the GUIDE model and should I let OneCare know if my organization has signed up?
On July 31, 2023, the Centers for Medicare & Medicaid Services (CMS) announced a new voluntary nationwide model – the Guiding an Improved Dementia Experience (GUIDE) Model – a model that aims to support people living with dementia and their unpaid caregivers. If your organization has signed up for this model, please notify the OneCare finance team via email: email@example.com.
Spread the Word!
Getting Vermonters in crisis out of emergency departments and into the right mental health care
Over 150 patients in need of immediate mental health care have accessed the compassionate, quality care they deserve thanks to a waiver OneCare is uniquely qualified to issue. This waiver breaks down barriers to get those in need of mental health care out of emergency departments and into the appropriate care setting of the Brattleboro Retreat. Learn more here: https://bit.ly/46ACS12