Healthcare Provider Resources

Resource Topics

Participation in the ACO

Providers are eligible to participate in the ACO who are a MD, DO or Primary Care NP and a member of the medical staff of Franklin Memorial Hospital, LincolnHealth, Maine Medical Center, Memorial Hospital, Mid Coast Hospital, Pen Bay Medical Center, Southern Maine Health Care, Stephens Memorial Hospital, St. Mary’s Regional Medical Center or Waldo County General Hospital. To begin the process of joining the MaineHealth ACO, please email us to request an application packet.

Participants 

Conditions of Participation

 

 

Clinical Guidelines & Topics

COPD Resources

 

Colorectal Cancer Resources 

 

Diabetes Resources

 

End-of-Life Resources

 

Heart Failure Resources

 

Hypertension Resources

 

Adolescent & Pediatric Resources

 

Tobacco Resources

 

Medicare Annual Wellness Visits

Medicare Shared Savings Program (MSSP)

MIPS Alternative Payment Model (APM)

Practices that participate in the ACO's MSSP contract are automatically enrolled in a special MIPS payment model created for ACO participants called the MIPS APM. Because the ACO reports some categories of data on behalf of its participants, this model places a reduced reporting burden on practices, compared to those enrolled in the standard MIPS model. 

  • MIPS Promoting Interoperability (PI) Category Details:
  • Enterprise Identity Management System (EIDM) Accounts: It is important to obtain an EIDM account to access the CMS Quality Payment Program portal in order to:

1. Report MIPS PI data

2. Review MIPS PI data submitted by an EHR/Health IT Vendor/QCDR, Qualified Registry; and/or

3. Review final MIPs results which will indicate the payment adjustment applied to each clinician within the TIN

4. Obtain access to the CMS Open Payments System

Health Plan Partners

Clinical Documentation Improvement

Best Practice Frameworks

A series of Best Practice Frameworks designed to provide a standard set of strategies and tools specific to help you improve care provided in the ambulatory environment.

Best Practice Frameworks (Webpage)