Monday Rx | June 11th, 2018 | National ACO June 19th Deadline Quickly Approaching
June 19th Deadline Quickly Approaching
One of my priorities at LACMA is to help members ensure that the business demands of running a private practice do not overshadow the original model of the medical profession — healing patients and keeping our communities healthy. Every day, we are finding solutions to provide physicians with a direct connection to the resources they need to sustain a private practice, provide excellent care to their patients, and maintain well-being in their personal lives.
In April, LACMA entered into an innovative partnership with National ACO (NACO), a Next Generation Accountable Care Organization that helps physicians improve patient care and remain independent. NACO enables physicians to participate in CMS savings, increase their patient visits and thrive in the risk-sharing population-based payment healthcare market that CMS now requires to be implemented over the next few years for Medicare beneficiaries.
JUNE 19TH DEADLINE LOOMING FOR INTERESTED PARTICIPANTS
The deadline is a CMS requirement for NACO to send a list for potential providers to participate in the upcoming Performance Year (PY) 2019. During this time, CMS will check provider eligibility on PECOS and CMS integrity lists. Additionally, CMS will review the providers’ billing and coding data to determine a preliminary attribution patient list for PY 2019.
NACO is designed by independent physicians for independent physicians. They share up to 80% of the cost savings generated with participating physicians. Once a provider is enrolled, the NACO Provider Engagement Team begins a process of training, systems integration, and alignment that drives down the cost of care while improving access and quality, and adding accountability for care.
Since NACO is a performance-based ACO, it selects physicians who participate through IPAs, medical groups, and associations. LACMA/CMA provides organizational oversight and value-added services that enhance quality performance through the Next Gen ACO Model of care.
NACO’s model is perfectly aligned with LACMA’s goal to support independent physicians and is positioned to work with private practitioners to offer the following associated benefit enhancements:
- Telehealth services and other electronic or mobile utilities to manage care
- Opportunities to utilize a waiver for skilled nursing facility admission without a mandated 3-day hospital stay
- Post-discharge home visits by qualified providers and clinicians following hospital stays
- A larger pool of preferred physicians, facilities, specialists, and home health agencies
- Administrative, financial and operational services
- Customized DATA and analytics
- IT resources
- Population-health management
- Care coordination
- Consulting services
NACO provides a platform for independent physicians to practice medicine in the current regulatory environment in a way that generates savings for the system, higher revenues for the physicians and better outcomes for the patient. As healthcare shifts to value based care, NACO helps practitioners stay compliant and generate additional savings – without the need to lose the freedom to operate in their own independent ways.
Co Founders, Dr. Andre Berger and Dr. Alex Foxman Discuss the NACO Model
Contact me if you have questions and would like to get started!
LACMA Board Member Opportunity
LACMA recently held its 147th Elections. Thanks to all the members who took time to vote for their preferred candidate.
We are pleased to announce that Dr. Jeffery Lee will become the next Secretary of LACMA and will leave his Councilor-at-Large Seat on the Board vacant.
We are seeking nominees who would be interested in filling that seat. The term starts on July 1, 2018 and ends on June 30, 2019.
The Councilor-at-Large is required to attend all quarterly Board meetings and actively participate in all discussions and any other ad hoc activities.
If you are interested or would like to nominate someone for this position, please email Lisa Le. All nominees are invited to attend the Board meeting scheduled for June 20, 2018 at 7pm as the Board will appoint the Councilor-at-Large at this meeting. Please email Lisa Lewith any additional questions.
You are Invited!
Los Angeles County Medical Association’s
Annual Installation of Officers
June 21, 2018
Hotel Casa del Mar
1910 Ocean Way
Santa Monica, CA 90405
The 2018 NEPO Summit is a unique and exciting educational event for physicians, medical students, public health professionals, and community leaders. The NEPO Summit will provide you with opportunities to learn about key health policy issues, building diversity in the workforce and increasing cultural competency in clinical care.
This year’s theme, Building the Best You: Celebrating the Joy of Medicine, will address issues of physician burnout and provide solutions to create a culture of wellness and physician well-being.
The 2018 NEPO Summit will be held at the Westin Pasadena in Pasadena.
Learn more here.
MULTIDISCIPLINARY APPROACHES TO CANCER SYMPOSIUM
WHEN: September 20 to 23, 2018
WHERE: Loews Coronado Bay Resort
4000 Coronado Bay Road
Coronado, CA 92118
Click here for more information.
This intensive program will provide participants with an enhanced ability to interpret and apply best treatment options to their individual cancer practices.
NEOPLASTIC HEMATOPATHOLOGY UPDATE
WHEN: November 8 to 10, 2018
WHERE: The Waterfront Beach Resort, A Hilton Hotel
21100 Pacific Coast Highway
Huntington Beach, CA 92648
Click here for more information.
Join experts for this exclusive interactive conference. This is a unique opportunity for up-close learning and discussion with experts in the treatment of neoplastic hematopathology.
For questions contact: firstname.lastname@example.org or 626-218-5622.