The Impact of Nurse Practitioner Attribution in Medicare Shared Savings ACOs.
In: American Journal of Accountable Care, Jg. 11 (2023-12-01), Heft 4, S. 20-24
Online
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Zugriff:
Objectives: Currently, the Medicare Shared Savings Program (MSSP) requires beneficiaries to have 1 or more visits with a qualifying physician to be attributed to an accountable care organization (ACO). Allowing primary care nurse practitioners (NPs) to serve as qualifying providers for the sake of attribution could be an effective way to expand access to the program but could potentially draw in sicker beneficiaries and increase an ACO's benchmarks. Study Design: This observational study assesses the potential impact of changing the MSSP attribution rules to include NPs and other advanced practice clinicians. Methods: For this analysis, we ran MSSP attribution for the entire United States with and without including NPs as attribution-eligible providers. We then compared the change in attributed population with the change in CMS hierarchical condition category (HCC) risk scores. Results: For the majority of ACOs, allowing NPs to serve as an attribution-eligible provider had little impact on the number of attributed beneficiaries or the mean HCC score. For a small number of ACOs (n = 18), the change increased attribution by more than 10%. The mean change in HCC score was 0. Conclusions: Allowing NPs to serve as attribution-eligible clinicians would result in more attribution to MSSP ACOs without increasing the level of patient complexity, a positive impact for those interested in growing ACOs. [ABSTRACT FROM AUTHOR]
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The Impact of Nurse Practitioner Attribution in Medicare Shared Savings ACOs.
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Autor/in / Beteiligte Person: | PERLOFF, JENNIFER ; O'REILLY-JACOB, MONICA ; PERLMAN, ANDREW ; SOBUL, SAM |
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Zeitschrift: | American Journal of Accountable Care, Jg. 11 (2023-12-01), Heft 4, S. 20-24 |
Veröffentlichung: | 2023 |
Medientyp: | academicJournal |
ISSN: | 2473-9669 (print) |
DOI: | 10.37765/ajac.2023.89475 |
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