CLINICAL STATISTICS

ACO Public Reporting

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Arrangements Disclosed

REQUIRED PUBLIC DISCLOSURE FOR THE ACO PARTICIPATION WAIVER

Patient Care Network of Oklahoma, LLC (the “ACO”) participates in the Medicare Shared Savings Program (“MSSP”) under a contract with the Centers for Medicare & Medicaid Services Center for Medicare and Medicaid (“CMS“). The Secretary of the Department of Health and Human Services by and through CMS has provided certain waivers of federal fraud and abuse laws in connection with the MSSP pursuant to Public Disclosure of Arrangements under the ACO Pre-Participation and ACO Participation Waivers, dated February 12, 2015 (“Waivers”). On May 29th, 2019, the Board of Directors of the ACO met at a duly called meeting to discuss an arrangement with Laboratory Corporation of America (“Labcorp”) under which Labcorp will provide analytics and more robust data on attributed patients. Consistent with the Waivers, after discussing the proposed arrangement with Labcorp, the Board of Directors made a bona fide determination that an arrangement with Labcorp as described below is reasonably related to the purpose of the MSSP and authorized such arrangement. The collaboration is related to the purposes of the MSSP as it augments the ACO’s ability to:

 

  • Promote evidence-based medicine and patient engagement;
  • Meet the requirements for reporting quality and cost measures coordinating care;
  • Establish clinical and administrative systems;
  • Meet the clinical integration requirements of the Medicare Shared Savings Program;
  • Evaluate the health needs of the ACO’s aligned population;
  • Communicate clinical knowledge and evidence based medicine to Medicare beneficiaries; and
  • Develop standards for beneficiary access and communication, including beneficiary access to medical records.

ACO Public Reporting

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The Primary Care Network of Oklahoma is an alignment of 19 Oklahoma Community Health Centers. Acting as a Clinically Integrated Network, PCNOK works to advance the triple aim of health care reform toward better care, healthier people and smarter spending.

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