ACO REACH
What does ACO stand for?
Accountable Care Organization
Name a new doctor to the 2026 Roster
Kogut, Dubuque, Asari, Lum
What insurance plans are included in MDX?
United Healthcare MA and Devoted
Blood levels of A1C, or hemoglobin chemically linked to a sugar, are commonly used to determine whether an individual has what medical condition?
Diabetes
~3200
What is the dollar amount associated with the highest tier in the incentive program?
$12.50PMPM
What is the date of the lock file?
10/1
What country just made feminine hygiene products free
Sweden
What is the program replacing ACO REACH next year?
ACO LEAD
What is the PMPM earned by a provider in Pearl
$24
Can you describe what Final reconciliation is?
When final RCC % and RAF is trued up
Name one exam/preventive treatment that is part of our mailouts
Paps, prostate, and mammogram
How are patients assigned to doctors?
Claims alignment and VA
What is our group's current average RAF? (HINT .05 more than last year)
.95
What life-saving medical screening that uses ionizing radiation can be traced back to 1913, when German surgeon Albert Salomon performed X-rays on 3,000 mastectomies?
Mammogram
Can you explain the rule of plurality?
it is a method of alignment used to assign patients to their PCP by way of PCP codes ran through claims in the 2 year look back period
Name the three quality metrics CMS tracks for an ACO
timely follow up, unplanned admission, all-condition readmission
What other PO is included in our RAC program in HHN?
MSMP
The remarkably durable HeLa cell line, still used in medical research and production today, was taken—without consent—from what woman who died of cancer in 1951?
Henrietta Lacks