Medicare Shared Savings Program (MSSP)

MSSP 3 Day SNF (Skilled Nursing Facility) Waiver: 
The waiver allows our MSSP participating providers more flexibility to enhance the quality of care they offer their patients while also decreasing unnecessary cost. The waiver does not restrict a Medicare Beneficiary's choice of provider or facility that is approved by Medicare. 
Participating Facilities
However, Skilled Nursing Facilities must meet Medicare requirements in order to participate in the waiver.
•Maintenance of CMS 3-Star rating
•Admission availability 24/7/365
•Submission of monthly Beacon Health Quality Metrics
•Cooperation and coordination with Beacon Health Care Manager as needed  
•Participation in Monthly SNF Network meetings
•Administrator/Quality Director
•Connection to ACO electronic medical record or HealthInfoNet (or plan to connect within one year)


 
The Medicare Shared Savings Program (MSSP) is an opportunity for Beacon Health to continue our ongoing efforts to enhance quality of care and patient and care team engagement, while making healthcare affordable. On behalf of our partners, Northern Light Eastern Maine Medical Center, Northern Light Inland Hospital, Northern Light Maine Coast  Hospital, Northern Light Mercy Hospital, and Northern Light AR Gould Hospital d.b.a.The Aroostook Medical Center we are entering our third year of a Medicare Shared Savings Program (MSSP) as an Accountable Care Organization (ACO).

Selected to participate as a Medicare ACO by the US Centers for Medicare and Medicaid Services (CMS), the ACO will build on the work already in progress through Beacon Health’s value-based and integrated care efforts.

The Shared Savings Program is one more way we are continuing to accelerate the pace of clinical transformation to support our patients living their healthiest lives.

As part of the Medicare Shared Savings Program, Beacon Health will demonstrate value by meeting 33 standards for high quality care that include patient safety and experience, care coordination, and preventive health.

What should that healthcare experience feel like for our patients?
  • Patients and their caregivers will have a team surrounding and supporting them, no matter where they receive care across the Beacon Rural Health integrated network.Their team includes doctors, nurse practitioners, physician assistants, care coordinators, nurses, medical assistants, pharmacists, and others to proactively deliver care.
  • Patients will receive consistent, coordinated care and communication, and the team will help arrange for specialty care whenever it is needed. For example, FOR a patient who is hospitalized, this team will make contact when they get home to answer any questions about next steps. Or, as another example, a patient living with diabetes who may visit the emergency department to get blood glucose levels under control would be contacted by a nurse care coordinator to help manage medications and stabilize the condition.
  • Patients can count on personalized consistent care that is evidence based and efficient.
Collectively for the past six years, our network of primary and specialty care providers have shifted to a more team-based approach to care delivery that focuses on being more proactive and supporting patients living their healthiest, not just caring for them when they are sick. Providers and care teams across Beacon Health are driving these changes to enhance the care they offer their patients and communities.