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We help you get every quality care dollar

As value-based programs take on more of your payment mix, athenahealth guarantees protection against penalties, and helps you secure every dollar you’re eligible for.

See how we do it


of provider groups avoided VM penalties in 2016


in incentives paid to our providers since 2011


Meaningful Use Stage 2 attestation rate for 2015

Don’t Leave Money on the Table
What’s at stake with value based reimbursement?
Here’s a look at an actual athenahealth client with a breakdown of the money they stand to lose and, more important, the money they can gain for the quality care they already deliver. This practice has 13% of their annual revenue in the balance. How much money is at stake at your practice?


See other practices
Avoid the penalties

MIPS 2017: Failing to submit any data for MIPS (for Eligible Clinicians) in 2017 will result in a -4% revenue loss in 2019. 

Get paid more with new revenue opportunities
If you’re already managing chronic care or providing transitional care, you should be taking full advantage of higher reimbursements from Medicare through the Chronic Care Management (CCM) or the Transitional Care Management (TCM) programs. There are also substantial incentives in the Value-based Modifier (VM) program that are awarded to providers for high-quality, low-cost care. Our 5 MD practice above received an additional $355,702 through incentive payments in these programs.

*VM & HCC values based off of CMS’ 2015 x-factor: Page 3:
**CCM values based on CMS data that two out of three Medicare beneficiaries have two or more chronic conditions: Page 2:
†TCM data based on CMS national average that 14% of beneficiaries have an inpatient episode followed by a post-acute visit: Page 16: