Jenkins: Education and Data the Keys to Healthcare ComplianceAugust 2, 2020
What brought you to LMI?
When I worked with LMI, their commitment to the success of the model impressed me. As a government employee, it is incredibly valuable to have a contractor that is committed to going the extra mile with you. LMI felt like a true partner throughout the process, very hands-on and supportive of not just CMMI and my team but also the model participants. LMI leveraged data to identify model risks and educated participants, focusing the resources available in the model on the participants that needed the most support, giving them the knowledge and resources to be successful.
You mentioned LMI’s hands-on approach to supporting providers who participate in CMMI models. Why is participant education so important to model compliance?
The objective of CMMI models is to give participating providers flexibility to try things differently, so the “rules of the road” can sometimes be vague in terms of what methods are acceptable as we try to right-size the level of care to meet the individual’s needs while controlling costs. Educating participants about how the model works is key. We don’t want participants constantly looking over their shoulder; we want to lessen their compliance burden so they can focus on providing care.
LMI has worked to create a compliance approach for several CMS programs and CMMI models that utilizes education to improve participant understanding of the model requirements. This will help them remediate any compliance issues quickly and decrease the number of compliance issues in the model over time.