Blog

 
April Reinert April Reinert

Steps to Wrap Up a Successful Performance Year

As the MIPS performance year ends, clinicians should take a structured approach to validating data, confirming documentation, and organizing audit files to protect their scores and ensure a smooth submission.

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Shereese Maynard Shereese Maynard

The MVP Hail Mary: Last-Chance Decisions Before the Dec. 1 Deadline

November’s clock is ticking, and the MVP decision is your last, decisive pass before the December 1 deadline. If your specialty and data align, switch now for clearer measures and a smoother path into 2026 or stay the course with traditional MIPS as a deliberate, safe play.

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Shannon Baughman Shannon Baughman

2026 MIPS Final Rule: What Providers Need to Know

Smart ACO leaders are leveraging 2025’s triple convergence—mandatory eCQM adoption, heightened CMS compliance, and unprecedented Medicaid funding cuts—not just to stay compliant, but to gain a competitive edge. In the face of evolving quality reporting requirements, complex multi-EHR data aggregation, and the fallout from over $1 trillion in Medicaid cuts, leading Accountable Care Organizations are strategically investing in robust data infrastructure, specialist engagement, and technology upgrades to outperform market peers and drive both quality improvement and financial sustainability through the remainder of 2025 and beyond.

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Shereese Maynard Shereese Maynard

The 60-Day MIPS Sprint: Last-Chance Strategies Before Dec 31

Smart ACO leaders are leveraging 2025’s triple convergence—mandatory eCQM adoption, heightened CMS compliance, and unprecedented Medicaid funding cuts—not just to stay compliant, but to gain a competitive edge. In the face of evolving quality reporting requirements, complex multi-EHR data aggregation, and the fallout from over $1 trillion in Medicaid cuts, leading Accountable Care Organizations are strategically investing in robust data infrastructure, specialist engagement, and technology upgrades to outperform market peers and drive both quality improvement and financial sustainability through the remainder of 2025 and beyond.

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Shereese Maynard Shereese Maynard

APP Plus Measure Deep Dive: Depression Screening & Follow-Up

Smart ACO leaders are leveraging 2025’s triple convergence—mandatory eCQM adoption, heightened CMS compliance, and unprecedented Medicaid funding cuts—not just to stay compliant, but to gain a competitive edge. In the face of evolving quality reporting requirements, complex multi-EHR data aggregation, and the fallout from over $1 trillion in Medicaid cuts, leading Accountable Care Organizations are strategically investing in robust data infrastructure, specialist engagement, and technology upgrades to outperform market peers and drive both quality improvement and financial sustainability through the remainder of 2025 and beyond.

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Shereese Maynard Shereese Maynard

APP Plus Measure Deep Dive #7: Hospital Readmissions

Smart ACO leaders are leveraging 2025’s triple convergence—mandatory eCQM adoption, heightened CMS compliance, and unprecedented Medicaid funding cuts—not just to stay compliant, but to gain a competitive edge. In the face of evolving quality reporting requirements, complex multi-EHR data aggregation, and the fallout from over $1 trillion in Medicaid cuts, leading Accountable Care Organizations are strategically investing in robust data infrastructure, specialist engagement, and technology upgrades to outperform market peers and drive both quality improvement and financial sustainability through the remainder of 2025 and beyond.

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Shereese Maynard Shereese Maynard

APP Plus Measure Deep Dive: Diabetes / Hemoglobin A1c Poor Control (CMS 122v13)

Smart ACO leaders are leveraging 2025’s triple convergence—mandatory eCQM adoption, heightened CMS compliance, and unprecedented Medicaid funding cuts—not just to stay compliant, but to gain a competitive edge. In the face of evolving quality reporting requirements, complex multi-EHR data aggregation, and the fallout from over $1 trillion in Medicaid cuts, leading Accountable Care Organizations are strategically investing in robust data infrastructure, specialist engagement, and technology upgrades to outperform market peers and drive both quality improvement and financial sustainability through the remainder of 2025 and beyond.

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Shereese Maynard Shereese Maynard

APP Plus Measure: Controlling High Blood Pressure (CMS165v13)

Smart ACO leaders are leveraging 2025’s triple convergence—mandatory eCQM adoption, heightened CMS compliance, and unprecedented Medicaid funding cuts—not just to stay compliant, but to gain a competitive edge. In the face of evolving quality reporting requirements, complex multi-EHR data aggregation, and the fallout from over $1 trillion in Medicaid cuts, leading Accountable Care Organizations are strategically investing in robust data infrastructure, specialist engagement, and technology upgrades to outperform market peers and drive both quality improvement and financial sustainability through the remainder of 2025 and beyond.

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Shereese Maynard Shereese Maynard

ACO PC Flex Year 1: What We’ve Learned So Far and What Comes Next

Smart ACO leaders are leveraging 2025’s triple convergence—mandatory eCQM adoption, heightened CMS compliance, and unprecedented Medicaid funding cuts—not just to stay compliant, but to gain a competitive edge. In the face of evolving quality reporting requirements, complex multi-EHR data aggregation, and the fallout from over $1 trillion in Medicaid cuts, leading Accountable Care Organizations are strategically investing in robust data infrastructure, specialist engagement, and technology upgrades to outperform market peers and drive both quality improvement and financial sustainability through the remainder of 2025 and beyond.

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Shereese Maynard Shereese Maynard

What To Do When Your MIPS Final Score Looks Wrong: A Detailed Guide to Targeted Reviews

Smart ACO leaders are leveraging 2025’s triple convergence—mandatory eCQM adoption, heightened CMS compliance, and unprecedented Medicaid funding cuts—not just to stay compliant, but to gain a competitive edge. In the face of evolving quality reporting requirements, complex multi-EHR data aggregation, and the fallout from over $1 trillion in Medicaid cuts, leading Accountable Care Organizations are strategically investing in robust data infrastructure, specialist engagement, and technology upgrades to outperform market peers and drive both quality improvement and financial sustainability through the remainder of 2025 and beyond.

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Shereese Maynard Shereese Maynard

Small Practices, Big Penalties: Toward a Fairer, Data‐Grounded Payment Model

Smart ACO leaders are leveraging 2025’s triple convergence—mandatory eCQM adoption, heightened CMS compliance, and unprecedented Medicaid funding cuts—not just to stay compliant, but to gain a competitive edge. In the face of evolving quality reporting requirements, complex multi-EHR data aggregation, and the fallout from over $1 trillion in Medicaid cuts, leading Accountable Care Organizations are strategically investing in robust data infrastructure, specialist engagement, and technology upgrades to outperform market peers and drive both quality improvement and financial sustainability through the remainder of 2025 and beyond.

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Alexandra Gonsor Alexandra Gonsor

APP Plus Without the Headaches: How to Aggregate, De-duplicate, and Hit Benchmarks Across Every Site

Smart ACO leaders are leveraging 2025’s triple convergence—mandatory eCQM adoption, heightened CMS compliance, and unprecedented Medicaid funding cuts—not just to stay compliant, but to gain a competitive edge. In the face of evolving quality reporting requirements, complex multi-EHR data aggregation, and the fallout from over $1 trillion in Medicaid cuts, leading Accountable Care Organizations are strategically investing in robust data infrastructure, specialist engagement, and technology upgrades to outperform market peers and drive both quality improvement and financial sustainability through the remainder of 2025 and beyond.

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Jennifer Wallace Jennifer Wallace

Beyond Compliance: How Smart ACO Leaders Are Turning 2025's Triple Threat into Competitive Advantage

Smart ACO leaders are leveraging 2025’s triple convergence—mandatory eCQM adoption, heightened CMS compliance, and unprecedented Medicaid funding cuts—not just to stay compliant, but to gain a competitive edge. In the face of evolving quality reporting requirements, complex multi-EHR data aggregation, and the fallout from over $1 trillion in Medicaid cuts, leading Accountable Care Organizations are strategically investing in robust data infrastructure, specialist engagement, and technology upgrades to outperform market peers and drive both quality improvement and financial sustainability through the remainder of 2025 and beyond.

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Shereese Maynard Shereese Maynard

What is a Gap Closure Report: Optimizing Tools for ACO Success

Gap closure reports are the strategic intelligence that separates high-performing ACOs from the rest. These reports identify patients who have missed critical preventive care, directly impacting HEDIS scores and shared savings. For ACOs, mastering gap closure is not just about improving quality metrics; it's about designing powerful incentive structures that motivate care coordination teams. Learn how to leverage technology, optimize workflows, and implement reward systems that drive performance, enhance patient outcomes, and achieve sustainable financial success in value-based care.

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Shereese Maynard Shereese Maynard

CMS’s ACO PC Flex Model and Evolving REACH Requirements: What ACO Leaders Need to Know Now

CMS’s 2025 ACO PC Flex Model offers upfront and monthly payments to stabilize primary care funding, while ACO REACH prepares for stricter 2026 benchmarks and risk adjustments. ACOs must navigate financial modeling, care transformation, and compliance—turning regulatory shifts into strategic advantages. Discover actionable steps to optimize revenue, manage risk, and stay ahead.

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Shereese Maynard Shereese Maynard

What CMS’s CY 2026 MSSP Proposed Rule Means for ACOs

The CY 2026 Physician Fee Schedule Proposed Rule introduces major changes for ACOs, including accelerated risk progression, revised quality metrics, and new beneficiary requirements. Learn how these updates impact your financial strategy and operational workflows—and how to prepare before the September 12 comment deadline.

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