Medicare is going to assess DCEs’ quality performance based on a patient experience survey-based quality measure and claims-based measures. The claims based measures are: all-condition 30-day hospital readmission rate, all-cause unplanned admissions for patients with multiple chronic conditions (MCCs), and timely follow up for patients after acute exacerbation of chronic conditions. Because there aren’t a multitude of metrics to keep up with, you’ll be empowered to manage your patients in the way that makes the most sense without being penalized for failing to “close a gap”

Do gaps in care still matter? Of course! We’ll be providing patient insights when we receive information suggesting your patient may need an interaction from you, or would benefit from a preventative encounter via our platform, and it's still important to document diagnoses to ensure Medicare has comprehensive information on the status of those you’re managing.