Outpatient HCC Question

robbimorris@sheridanhospital.org

Hello all,

I am currently researching for an outpatient CDI program for a physician practice.  I have a question:  the HCC model applies to Medicare Advantage and all ACO's right?  Well who participates in ACO's?  I am not finding any information on this.  We have a very small percentage of Medicare advantage.  High percentage of straight medicare.  Can anyone help please?

Thank you.

lprescott1

There are several HCC models- CMS HCCS and HHS HCCs are two. CMS HCCs pertain to medicare advantage plans. I am not about all ACOs.

jnorton@uphams.org

 For ACO they use the HHS HCC as Medicaid population and Medicare advantage uses CMD HCCS. 

jnorton@uphams.org

My apology for the typo 
ACO = Medicaid =  HHS HCC
Medicare Advantage = Medicare HCCS