CMS gives ACO members the higher of the two scores for MIPS. And the process you create to gather your data for MSSP submission (starting in 2021) can generate the data your TINs use to submit their own CQMs. Our tools make it all a snap.
Some years, ACOs don't have shared savings to distribute, but every year MACRA imposes penalty or reward. And once MACRA hits full swing, the potential positive adjustments are +19% of Medicare receipts, and penalties -9%. When you consider overall Part B Billings, MACRA can be bigger then Shared Savings or Losses, even in a good year for the ACO.
As you interact with TINs to obtain CQM source data, that very interaction can be part of what they use to submit directly to CMS. There is virtually no extra work - just extra insight.
A High-Performance Monthly MACRA program can show providers your level of compassion for their Medicare Revenues. If you dedicate the right resources, tools, and people to MACRA, you will earn provider gratitude, and assure that you don't lose providers, for reasons completely apart from your core mission. You never asked to be responsible for MACRA, but your providers won't necessarily see it that way if things go wrong.