Shaily Gupta Shaily Gupta

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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Shaily Gupta Shaily Gupta

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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Shaily Gupta Shaily Gupta

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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Shaily Gupta Shaily Gupta

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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Shaily Gupta Shaily Gupta

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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Shaily Gupta Shaily Gupta

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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