Intersect’s experience working with the MSSP dates back to 2013 and our NGACO experience back to 2016. No organization has been more successful in these programs than those the Intersect leadership helped create and operate. In fact, between 2014 – 2020 performance years the total savings from these programs exceeded over $200,000,000.

While Medicare is generally considered a below average payor from a cost coverage perspective, it often represents a provider’s largest source of revenue. As such, these programs can represent a significant opportunity to improve your Medicare effective rate of reimbursement, improving contribution margin. Helping your organization formalize strategies to take advantage of the benefits of these programs is something Intersect has been doing for many years, and we can put that experience to work to optimize your performance.

Intersect has unique experience customizing purpose-built networks for value-based entities within these programs that have driven substantial bottom line impact. These efforts have achieved between $14 and $20 PBPM in savings for the program equating to between $14,000,000 and $25,000,000 per year of annual ACO bottom line. While the opportunities vary by program and track, we can help you benefit from what is available given your circumstances.

CMS/CMMI waivers afford ACOs/CINs a significant level of protection to innovate in ways that have historically been considered “gray” areas. The waiver brings many important components of a physician engagement strategy for population health management programs within a safe harbor.

Unfortunately, most organizations are not availing themselves of the various CMS/CMMI revenue opportunities and exposure hedges these programs provide. At Intersect we believe the opportunities afforded organization through these programs should be foundational to your population health management initiatives and we can help you identify, then harness the power of these programs.