100% SDoH Data Reporting to Maximize Your PY25 Earn Back
In PY2025, CMS will use Social Determinants of Health (SDoH) data reporting to determine your ACO’s Quality Withhold Earn Back. Here’s how Mabel makes 100% reporting simple.
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CMS launches GUIDE Model for dementia care
The Guiding an Improved Dementia Experience (GUIDE) Model is a new program from CMS that aims to improve the quality of life for people living with dementia and their caregivers. GUIDE is a voluntary, risk-free, 8-year model running from July 1, 2024, through June 30, 2032.
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PY23 HEDR Results & PY24 SDoH: What’s your strategy?
In looking ahead to the PY24 HEDR submission, Mabel has been focused on helping our ACO partners achieve similar or greater success despite the heightened challenges of collecting Social Determinants of Health (SDoH) data.
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HEDR Success Stories
Within just 2 weeks of kicking off with Mabel, this ACO REACH captured >90% of their PY23 HEDR data—and is on track to earn back the full $100K of their HEDR adjustment.
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High Needs ACOs face unique voluntary alignment challenges
Voluntary alignment represents a significant opportunity to help High Needs ACOs keep pace with natural attrition. However, a combination of compliance restrictions and difficult-to-target home-based and institutional care patients, can make voluntary alignment challenging.
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Mabel Introduces Streamlined Beneficiary Notification Letters™
CMS requires ACOs to send Beneficiary Notification Letters to newly aligned members on a regular basis. Mabel has introduced Streamlined Beneficiary Notification Letters™ to better leverage our technology platform capabilities and support our ACO clients.
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ACO REACH: Maximize your PY23 HEDR Adjustment
Under Health Equity Data Reporting (HEDR), CMS is now incentivizing ACOs to collect beneficiary-reported demographic and SDOH data on aligned beneficiaries. As part of this initiative, ACO REACHs can earn up to 0.2% of the ACO Benchmark—representing a significant financial opportunity in 2023 alone.
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Staying Compliant in ACO REACH
Voluntary alignment can generate significant financial gain for ACO REACHs; however, without rigorous oversight, adhering to CMS guidelines can be a challenge.
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Running voluntary alignment in-house? Here’s what to consider.
Voluntary alignment is a laborious, manual process that is prone to errors and requires a large dedicated team—which can be both costly and produce weak results.
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What is the #1 tactic for voluntary alignment?
Which voluntary alignment tactic is most effective in generating new alignments? After sending out 250,000 SVA packets and processing more than 100,000 SVA forms, here’s what we’ve seen.
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Best Practices for Voluntary Alignment
Mabel’s turn-key voluntary alignment solution helps ACO REACHs substantially increase their aligned lives
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