Charles Fox

Overview One of the main functions of Strategy is to provide insights into any networks you have created. Of course, this means that you must have created a network first. So, if you need help crea...

Explore Physician Groups  We’ve added Physician Groups to the Explore page, allowing you to conduct more thorough network analysis. Use the search bar to find physician groups by name or NPI. You c...

    Shared Upside Rate Performance Payment Limit of Benchmark Shared Loss Rate Loss Sharing Limit Minimum Savings Rate/Minimum Loss Rate # of 2021 ACOs Track 1* Up to 50% 10% 0% 0% 2% to 3.9% ...

Yes, the Total Patient Cost chart includes all Evaluation & Management (E&M) codes for physicians.   If you want to look at the codes, see  https://www.aapc.com/codes/cpt-codes-range/99091-99499/  ...

Summary Risk Scores are calculated in accordance with specific and detailed parameters defined by CMS, which include factors such as patient diagnoses and demographics. The Risk Score number can be...

What is Leakage? Leakage represents claims for a selected MSSP ACO's where assigned beneficiaries were admitted to a SNF, home health agency or hospital that is not participating in that ACO. For...

The triggering CPT events Trella Health uses for Physician Total Patient Cost metrics match the most recently published list from CMS regarding CPT codes that count towards MSSP Version-9 Attributi...

On the Explore page there are two places where you can find definitions for metrics.   Table Header In any table in Strategy, in any table, the button in the column header is a button you can cli...

  As the DCE program ramps up for its second performance year, we want to ensure that our clients understand how we derive our alignment estimates and the limitations of our methodology.   Metr...

Risk Scores and Normalization Factor  Normalization factor is based on the National Average FFS Risk Score and is not limited to just estimated DCE assigned lives.   The Normalization factor is ...