Setting a New Bar for Online Higher Education: Pathways to Success for the Medicare Shared Savings Program

Setting a New Bar for Online Higher Education: Pathways to Success for the Medicare Shared Savings Program

In recent years, online higher education has seen significant growth and evolution. With advancements in technology and changes in the workforce, more and more individuals are turning to online programs to pursue their educational goals. This shift has prompted institutions to set a new bar for online higher education, ensuring that students have access to high-quality programs that meet their needs.

At the same time, the Centers for Medicare and Medicaid Services (CMS) has been working to create pathways to success for the Medicare Shared Savings Program. This program aims to promote interoperability among Accountable Care Organizations (ACOs) and increase savings for the Trust Funds. By setting new requirements and criteria for program participation, CMS is pushing ACOs to transition to performance-based risk more quickly.

One of the key changes introduced by CMS is the inclusion of a new Certified EHR Technology (CEHRT) threshold criterion. This criterion determines an ACO's eligibility for program participation and promotes interoperability among ACO providers and suppliers. By ensuring that ACOs are using certified technology, CMS is encouraging the seamless exchange of patient information and improving the overall quality of care.

To further support ACOs in their transition to performance-based risk, CMS has also introduced the BASIC and ENHANCED tracks within the Shared Savings Program. ACOs can choose to participate in either track, depending on their level of readiness and willingness to take on financial risk. This flexibility allows ACOs to find a track that aligns with their capabilities and goals.

For existing or new ACOs looking to participate in the program, there are a few actionable pieces of advice to consider. First, complete a non-binding Notice of Intent to Apply (NOIA) to express your interest in joining the program. This step will help you understand the eligibility requirements and key timelines associated with program participation.

Second, familiarize yourself with the ACO core quality measure set and the new CEHRT threshold criterion. These measures will play a crucial role in determining your ACO's performance and eligibility for program participation. By focusing on quality outcomes and interoperability, you can position your ACO for success in the Shared Savings Program.

Lastly, leverage the resources and support provided by CMS. The agency has created a webpage dedicated to the Application Types & Process, which offers detailed instructions and guidance on the submission process. By utilizing these resources, you can ensure that your application is complete and meets all the necessary requirements.

While the changes introduced by CMS may seem complex, they ultimately aim to improve patient care and outcomes. By transitioning to performance-based risk and promoting interoperability among ACO providers and suppliers, the Shared Savings Program is creating a pathway to success for ACOs.

In conclusion, setting a new bar for online higher education and creating pathways to success for the Medicare Shared Savings Program are two separate initiatives. However, they share a common goal of promoting excellence and driving positive change. By incorporating the principles of quality, flexibility, and collaboration, both higher education institutions and ACOs can achieve their respective objectives.

Actionable Advice:

• 1. Complete a non-binding Notice of Intent to Apply to express your interest in joining the Shared Savings Program.

• 2. Familiarize yourself with the ACO core quality measure set and the new CEHRT threshold criterion to ensure your ACO's eligibility and focus on quality outcomes.

• 3. Leverage the resources and support provided by CMS, including the Application Types & Process webpage, to navigate the submission process successfully.

By following these actionable advice, institutions and ACOs can position themselves for success and contribute to the advancement of their respective fields.