Gains for Your Medicare Patients in LTC Facilities Finally Means Gains for You!

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

In the event quality and participation outcomes are met, participating physicians will share in the savings attributed by CMS to the ACO. Being a part of LTC ACO entitles primary care practices to earn 30% of the savings generated based on their specific patient population (assuming the ACO in total produces shared savings, with quality and participation criteria satisfied). LTC ACO also contracts with non-primary care practice groups. Beginning in 2023, LTC ACO will include engagement with palliative care, wound care, mental health, and telehealth services. 

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

30% Shared Savings Opportunity with NO Downside Risk
Participation in the LTC ACO entitles physicians to earn 30% of the savings generated based on your specific patient population (assuming the ACO in total produces shared savings). In case there are no savings, physicians face no financial risk whatsoever.
Bonus for ALL Primary Care Physician-based Medicare Fee-for-Service Billings
Qualifying Advanced APM Participants (QPs) receive a 3.5% AAPM incentive payment through the end of performance year 2023.
** According to current law (MACRA), after the bonus expires, AAPM participating providers will receive a 0.75% bump in Medicare Part B payments per year, compared to only 0.25% for non-participating providers.  
Elimination of Complex MIPS Reporting Requirement & Penalty
LTC ACO participating providers become Qualifying APM Participants (QPs), which exempts them from MIPS reporting and the potential 9% MIPs penalty. 
Get the Full Picture of Your LTC Patients' Health with Access to All of Their Medicare Claims Data
Today, you only have access to the Medicare-covered services you provide to your LTC Medicare fee-for-service patients.  By participating in LTC ACO, you will have access to Medicare claims data for all Original Medicare services provided to your LTC ACO patients, including those services delivered by other providers outside of the LTC facility. The ACO will provide reports to you to help you interpret the quality and cost of care provided to your patient, so that we can find ways to improve outcomes together.

Note: Medicare Beneficiaries may elect to opt out of data sharing.

Want to Learn More About Participation with LTC ACO?