PRIMARY CARE PRACTICES

Gains for Your Medicare Patients in Long-Stay Facilities Finally Means Gains for You!

LTC ACO works to dramatically improve the quality and cost of healthcare delivered to residents of long-stay facilities through engagement with partner practices. Joining LTC ACO presents an opportunity to participate in a model that works towards achieving better healthcare and quality outcomes for residents of long-stay facilities and incremental revenue opportunities for participating providers.

In the event quality and participation outcomes are met, participating partner practices will share in the savings attributed by CMS to the ACO. Being a part of LTC ACO entitles primary care practices to earn a significant share of the savings generated based on their specific patient population (assuming the ACO in total produces shared savings, with quality and participation criteria satisfied).

The organization provides an unparalleled level of support to participating practices, enabling them to deliver the highest quality of care for the unique, underserved, and high-needs population they serve. Review our key benefits listed below.

MSSP Gain Share Opportunity
Participation in the LTC ACO entitles participating providers to earn a percentage of the savings generated based on their specific patient population (assuming the ACO in total produces shared savings, with quality and participation criteria satisfied). In case there are no savings, participating long-term care facilities face no financial risk whatsoever.
Advance Shared Savings Program
Eligible ACO Participants receive prepayments of projected shared savings, prior to final settlement.
Action-Oriented At-Risk Beneficiary Worklists
Powered by AI predictive analytics, we arm your team with worklists that identify beneficiaries at greatest risk for unplanned hospitalizations, falls due to polypharmacy risk, and mortality for early intervention.
Advanced Alternative Payment Model (APM) Incentive Payment
Participating providers become Qualifying APM Participants (QPs), qualify them in PY 2024 for a 1.88% MACRA bonus for ALL their Medicare Fee-for-Service billing. Extensions are under consideration by Congress. Beginning in PY 2026, QPs will receive a 0.75% increase to their Medicare physician fee schedule (vs. 0.25%).
Elimination of Complex MIPS Reporting Requirement & Penalty
LTC ACO participating clinicians become Qualifying APM Participants (QPs), which exempts them from MIPS reporting and the potential 9% MIPs penalty. 
LTC ACO Reporting
LTC ACO reports include Financial, Utilization, Quality, Attribution Status, and At-Risk Beneficiary Worklist information for partner practices.

Want to Learn More About Participation with LTC ACO?