Long-term care patients are some of the most complex high acuity patients within the Medicare population and are commonly overlooked and/or excluded by value-based programs that could drive improved care coordination, quality outcomes, and cost efficiencies.
Sound’s ACO model leverages Sound’s national footprint, innovation, and proven experience in value-based care to partner with physicians and long-term care facilities. The aim is to deliver coordinated care, better healthcare, and quality outcomes for long-term care and assisted living residents.
In the ACO model, once Medicare quality and performance targets are met, you will share in the Medicare program savings from CMS through the ACO.
THE BENEFITS OF JOINING:
• MSSP Gain Share Opportunity
Up to 25% of shared savings earning potential based on your specific patient population with NO DOWNSIDE RISK.
• 3.5% Bonus on All Medicare Billings
As a participating provider you will qualify for a 3.5% bonus under MACRA for ALL of your Medicare FFS billing, since SLTCM qualifies as an Advanced Alternative Payment Model (AAPM).
• Elimination of MIPS Reporting Requirements & Penalty
Focus more of your time on patient care. Participation in an AAPM eliminates the burdensome MIPS reporting requirements and a potential 9% MIPS Penalty.
• Data Transparency
Monthly data reporting provides the full picture of each participant’s long-term care patient's utilization, quality metrics, and HCC data.