Quality & Chronic
Disease Management

MSSP Data Validation

Between Jan. 15 and March 15 of 2018, our five ACOs — ACN and ACN NextGen, SCICN, NSQCN and SRQCN — engaged in the Group Physician Reporting Option (GPRO), the process of abstracting and validating quality data for MSSP.

Once received, a team of 34 abstractors (including auditors) had eight weeks to manually abstract the required data from athenahealth, our platform for aggregating claims and other data from providers’ various electronic health records (EHRs).

For each ACO in the program, we received a list of 616 attributed MSSP patients for each of the 15 reportable quality of care measures to pull data for, with the expectation that we report back — validating in each chart that certain measures were met — on a minimum of 248 consecutive beneficiaries for each measure (or 100 percent if we have fewer than 248 eligible beneficiaries).