Electronic Health Records

Alternative Payment Models

MedPAC Continues to Push for MIPS Repeal, Voluntary Value Program

March 20, 2018 - The Medicare Payment Advisory Commission (MedPAC) advocated for the repeal of the Merit-based Incentive Payment System (MIPS) in its 2018 March report to Congress. In its place, MedPAC recommended Congress implement a voluntary value program (VVP) that would offer clinicians of all specialties federal incentives to focus on improving population-based outcomes. Ultimately, the...

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Specialist Physicians Counter Call for Eliminating MIPS

by Kate Monica

Members of the Alliance of Specialty Medicine recently submitted a letter to Medicare Payment Advisory Committee (MedPAC) Chairman Francis J. Crosson, MD, arguing CMS should improve the Merit-Based Incentive Payment System (MIPS) rather...

Why Are Physicians Hesitant to Invest in Value-Based Care?

by Kyle Murphy, PhD

Federal quality reporting programs aim to improve the patient experience and health of populations and reduce the cost of care, goals their participants are clearly in favor. However, the latter take umbrage with the expense required of...

Most Physicians Doubt Preparedness for MACRA Requirements

by Kate Monica

A recent survey by the American Medical Association (AMA) and KPMG found over 75 percent of physicians feel unprepared to meet MACRA requirements in 2017. Published at the Eighth Annual Alternative Payment Model (APM) and Accountable Care...

CMS Details Quality Payment Program Technical Assistance

by Kate Monica

CMS recently issued a guide of technical assistance resources clinicians participating in the Quality Payment Program (QPP) can use to navigate one of its two pathways successfully. The list of free resources gives clinicians...

HIMSS Seeks Delay in Use of 2015 Edition Certified Technology

by Kyle Murphy, PhD

HIMSS is calling for a six-month delay to the federal requirements for healthcare organizations and providers to use 2015 Edition certified EHR technology in the EHR Incentive Programs and Quality Payment Program. In an April 11 letter to...

CMS Funds to Help Rural Practices in Quality Payment Program

by Kyle Murphy, PhD

As part of a five-year program to support individual physician and small practices participating in the Quality Payment Program, the Centers for Medicare & Medicaid Services awarded $20 million to 11 organizations. Over the remaining...

AMGA Pushes Congress Toward Accelerating Value-Based Care

by Kate Monica

The American Medical Group Association (AMGA) has written House Speaker Paul Ryan (R-WI) to ensure that the transition to value-based care remains a focal point for the 115th Congress and that medical groups have the assistance they need...

359K Providers to Participate Alternative Payment Models in 2017

by Kate Monica

More than 359,000 clinicians are set to take part in one of four of Alternative Payment Models (APMs) as part of the Quality Payment Program, the federal agency announced midweek. Beyond APMs, the Quality Payment Program also includes the...

Industry Leaders Offer Closing Comments on MACRA Final Rule

by Sara Heath

As reporting for the Quality Payment Program under the MACRA final rule closely approaches, healthcare industry stakeholders are submitting their final comments. Earlier this week, AMGA and the Medical Group Management Association (MGMA)...

CMS Comment Period for Quality Payment Program Ends Dec. 19

by Sara Heath

Time is running out for healthcare professionals, lawmakers, patients, and caregivers to submit public comment on the Quality Payment Program. In a public statement, CMS announced that it will continue to accept public comments until...

Key Takeaways to Support a Successful MACRA Implementation

by Sara Heath

The Quality Payment Program as part of MACRA implementation contains several nuances that will be useful for eligible clinicians to understand for successful participation in either the Merit-based Incentive Payment System (MIPS) or...

CMS: Providers Choose Pace for Quality Payment Program in 2017

by Kyle Murphy, PhD

Well in advance of the final rule for the Quality Payment Program — comprising both the Merit-based Incentive Payment System (MIPS) and Alternative Payment Models (APMs) — the Centers for Medicare & Medicaid Services (CMS)...

3 Steps for Ensuring Provider Success under MACRA

by Mark Hefner of Infina Connect

The Medicare Access and CHIP Reauthorization Act (MACRA) is about to revolutionize reimbursement for providers of Medicare Part B services. MACRA, which replaces the flawed Medicare sustainable growth rate (SGR), links the majority of...

MACRA Must Do More to Promote Health Data Interoperability

by Sara Heath

MACRA requires more provisions to facilitate health data interoperability and the secure exchange of health information, says the Workgroup for Electronic Data Interchange (WEDI). In a comments letter to the Centers for Medicare &...

Is the Timeline for MACRA Implementation Too Aggressive?

by Kyle Murphy, PhD

The proposed rule for MACRA implementation requires eligible clinicians to begin their first performance year in 2017 which has drawn criticism from several leading industry groups. In separate letters to the Centers for Medicare &...

AMIA: “Unprecedented Opportunity” with MACRA Implementation

by Kyle Murphy, PhD

The American Medical Informatics Association (AMIA) has voiced its support of MACRA implementation contingent on the Centers for Medicare & Medicaid Services (CMS) committing to learning from previous quality reporting programs and...

Specialists Concerned with Proposed MACRA Implementation

by Kyle Murphy, PhD

The American College of Rheumatology (ACR) has expressed concerns over provisions of MACRA implementation that could negatively affect the performance of specialists in either the Merit-based Incentive Payment System (MIPS) or...

How Will MACRA Legislation Affect Small Physician Practices?

by Sara Heath

Small independent practices are wary of MACRA, and fear that they may not survive the new legislation, according to a recent Black Book survey. The survey, which was conducted in May 2016 with 1,300 physicians, shows that small physician...

CMS Makes $10M Available to Support MACRA Implementation

by Kyle Murphy, PhD

The Centers for Medicare & Medicaid Services (CMS) is redoubling its efforts to support providers with MACRA implementation. The federal agency today announced a new grant that makes up to $10 million available over the next three...



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