High quality scores show your community that you have implemented patient-centered processes that promote prevention, wellness, and high standards of care for vulnerable populations. Accurate and complete quality reporting is essential to success under value-based payment models.
Caravan Health's model helps simplify quality reporting. Our staff reviews your data and works with your team to identify data gaps, then determine how to over them to reduce the reporting burden by 30 – 60%. We use powerful analytics to generate care gap reports for each patient and a list of patients that are out of compliance. Our team monitors your progress and ensures timely, accurate, and complete reporting. When ready, we upload your data to CMS, so you can avoid common system crashes and unnecessary training. We allow you to upload supporting documentation to ease audits.
The Merit-based Incentive Payment System (MIPS) is one of two tracks under the Quality Payment Program, the new Medicare value-based payment system for physicians. On average, high performing practices have lower MIPS scores than their counterparts in an ACO. ACO MIPS quality scores are better due to having claims data to find missing results and six weeks to polish data. ACOs also only need to report on a sample of attributed patients. The ACO average quality score is 91%, while Caravan Health ACOs average more than 95%.
Hospitals and their affiliated clinical networks can avoid hundreds of thousands of dollars in penalties – and earn bonuses – by enrolling in an ACO to take advantage of their special MIPS scoring rules.