All of Arizona’s Medicare ACOs have upcoming deadlines to submit their rosters of PCPs for 2018.
Like the Cardinals shoring up its roster for the upcoming NFL season, Arizona’s Medicare ACOs are prepping for the 2018 MSSP ACO enrollment deadline. The MSSP deadline, which was set for August 30, 2017, has been delayed to September 6, 2017. Either way, it is crunch-time for the ACOs. So, what is happening, who is dropping, and who is adding? Industry sources say some larger ACOs are looking to cut their numbers, while the smaller organizations are looking to add. All of them say they want to attract providers and groups that manage costs well, while performing well on outcomes measures.
Banner Health Network and others are rumored to be cutting physicians from their network of independent practices. Will those providers find out in time to find a new ACO? Will the ACOs have time to apply criteria and decide to add providers to their panels? ACOs must declare the providers that they delete from their rosters. Then a new ACO can “claim” them. There seems to be an unwritten code of ethics in play here. The Hertel Report heard different depictions of how this is playing out. Ultimately, the physicians need to be crystal clear in their intentions to leave an ACO, so they can join a new one.
Commonwealth Primary Care ACO reports that it sees this time as an opportunity to grow and support independent primary care. The ACO’s leadership believes that all independent primary care physicians can do well in the MSSP model if they are willing to put in the effort to control costs, improve quality and improve population health. But, will the PCP’s have time to reach out to welcoming ACOs? The Hertel Report will be watching this closely and will publish its annual ACO data edition later in the fall, after 2016 performance data is released.
See table 2 (pages 9 and 10) of the attached CMS MSSP Guidance Document