Mabel Glossary

Both are performance measures for any initiative. Specifically, the % Responded is the total number of SVA responses divided by the total number of letters or emails sent. The % PNA Yield indicates the total number of Potential New Alignments divided by total letters/emails sent. Since PNA is the key metric that all voluntary alignment initiatives should drive towards, the % PNA Yield is very important to watch. Both values can be found on the Mabel Dashboard, under Campaigns, as the last columns of both the SVA Letter Response Rate and SVA Email Response Rate tables.

The % Responded is expected to decrease with every wave (usually by half) as the pool of unaligned beneficiaries who will respond to the campaign begins to saturate.

The % PNA Yield directly correlates with ROI for a given campaign. Most ACOs will see a 3x+ ROI for any % PNA Yield >2% and a 5x+ ROI for any % PNA Yield >4%. Mabel will release a calculator shortly so ACOs can understand this computation and enter their own values. Nevertheless, any prior campaigns with % PNA Yields of 4%+ should be strongly considered for an additional voluntary alignment campaign.

• Patient list errors — incorrect addresses or an incorrect subset of patients
• Practice name/address errors — incorrect practice names/addresses, recent rebranding, or campaigns using an MSO/parent-institution name instead of individual practice names

• Missing MBIs — results in a lower % PNA Yield, fixed by re-uploading the patient list with MBIs
• Missing Beneficiary Alignment Report (BAR) — unable to distinguish aligned/unaligned beneficiaries, lowering % PNA Yield
• Terminated participating providers — SVA responses that can't be aligned to other NPIs are marked Invalid, reducing % PNA Yield

When Mabel receives a completed SVA, we usually submit the NPI associated with the beneficiary in the patient list. However, there are multiple situations where we need to assign a different NPI:

• Patient specifies a different NPI (unless not participating, then the SVA is marked invalid)
• No patient record on file (new patients, recently switched to Original Medicare, etc.)
• NPI on file is invalid (provider no longer with the practice/ACO)

In the latter two cases, we associate the beneficiary with the Default Provider NPI for the practice. The Default Provider NPI should be the anchor provider or Medical Director of a practice.

The list of Default Provider NPIs can be found on the Mabel Dashboard, under "Setup," scroll down to "Practice Settings." For each practice/row, there is a "Default Provider NPI" column where the NPI is defined. This list can be downloaded by hovering over the top right corner of the table, clicking the ••• and selecting "Download as .xlsx."

Upon downloading the Practice Settings for your ACO, please update the Default Provider NPIs column with your updated NPI and highlight the cell so the Mabel team knows which cells have been updated. Send your updated spreadsheet to support@getmabel.com and our team will incorporate the changes.

Mabel creates several additional practices for every ACO network to support various functions:

• <ACO Name> — practices with "#BNL" in the description, used to send Beneficiary Notification Letters
• <ACO Name> - Unaffiliated — a virtual practice housing beneficiaries who don't appear in the network's patient lists but completed an alignment form (as of June 2023, most Dashboard analytics abstract this practice away)

Before reaching out to support@getmabel.com, please confirm that the practice has not already been archived. Archived practices will have the row highlighted in red; also, under the "Archived?" column, the value will be "true." Archived practices are no longer participating in campaigns. However, any completed alignments tied to patients within archived practices will still be submitted to CMS.

The print space for practice logos is usually 2.4in width x 1in height, so the ideal logo is one that is (a) wide vs. tall, since a tall logo will be scaled down to fit in the space, and (b) big enough — in size or higher resolution — so it will print cleanly in that space.

The Potential New Alignments are computed by taking the CMS Submission file (unique MBIs only) and excluding already-aligned beneficiaries as well as any previously submitted alignments.

It is the most relevant metric to share with leadership to inform forecasting and projections. The Actual New Alignments (A0, as reported by CMS) varies by network, but tends to come in at ~65% × PNA for Standard ACOs and ~40% × PNA for High Needs ACOs.

Per CMS guidance, Mabel only submits the most recent Completed SVA per MBI. If a patient signs multiple SVAs (e.g., both by mail and also in their provider's office), the SVA with the most recent date will be included in the CMS submission file. Moreover, Mabel filters the submission list for SVAs that have not appeared in a previous SVA response file, again per CMS guidance.