ALEDADE 43 MS CHC MSSP ENHANCED

2023 CMS WEB

INTERFACE

QUALITY

PERFORMANCE

RESULTS

PAYMENT RULE WAIVERS

Skilled Nursing Facility (SNF) 3-Day Rule Waiver:

• Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.

FRAUD AND ABUSE

WAIVERS

ACO Pre-Participation Waiver: N/A

ACO Participation Waiver:

- Parties to the arrangement: Aledade Accountable Care 43, LLC: ACO Participants

- Date of arrangement: 5/16/2024

- Items, services, goods, or facility provided:

• To subsidize the cost of Recipients’ transition to an electronic health records system and to otherwise support other investments in technological infrastructure and redesigned care processes that will enable Recipients to provide better care coordination for patients, including MSSP Beneficiaries.
• To assist Recipients in operating their clinical practices and providing coordinated care for the ACO Medicare population, which includes without limitation, subsidizing staffing and overtime expenses.
• To enable Recipients’ improvement in accurate and complete record-keeping, submission, and validation (including diagnosis documentation and coding).
• To better align Recipients with the overarching purpose of the MSSP, called the “Triple Aim”— better health for populations, better care for individuals, and lower growth in healthcare expenditures.

• To meet the quality performance standards of the MSSP.