MACRA

How Radiologists Can Join an Advanced Alternative Payment Model

by Jacqueline LaPointe

Radiologists may want to look to the physician-focused payment model path in MACRA to develop specialty-specific Advanced Alternative Payment Models (APM), suggested a recent Journal of the American...

Hospitals, Health Systems Eye Financial Snags in ACA Repeal

by Kyle Murphy, PhD

In identical letters to the Trump Administration and Congress, the American Hospital Association and other state and regional associations are urging members of both branches of the federal government...

Patient Care Navigation Program Reduces Cancer Care Costs

by Jacqueline LaPointe

Using non-physician and nurse providers as part of a patient navigation program can significantly lower healthcare costs and utilization for cancer patients while generating a return on investment, a...

CMS: Innovation Center Key to APM, MACRA Implementation Success

by Jacqueline LaPointe

In a recent official blog post, CMS Acting Principal Deputy Administrator Patrick Conway, MD, highlighted the federal agency’s Innovation Center’s successes with alternative payment model...

OIG: Provider Support, Health IT Needed for MACRA Implementation

by Jacqueline LaPointe

MACRA implementation has been a major priority for CMS in the past year, but the Department of Health and Human Service’s Office of the Inspector General (OIG) recently found several challenges that...

URAC Calls for Virtual Group Rules in Quality Payment Program

by Jacqueline LaPointe

URAC, a non-profit healthcare accreditation company, recently called on CMS to implement virtual group standards under the Quality Payment Program in 2018 that promote economies of scale for more...

CMS Unveils New Medicare APMs for Quality Payment Program

by Jacqueline LaPointe

CMS finalized several new Medicare alternative payment models that will qualify for a five percent value-based incentive payment through the Quality Payment Program. The announcement contained bundled...

AMGA: Drop Transition, Add MSSP Track for MACRA Implementation

by Jacqueline LaPointe

With the Quality Payment Program set to launch on Jan. 1, 2017, the American Medical Group Association (AMGA) provided CMS with several MACRA implementation suggestions, including transition year...

Slavitt Offers Value-Based Care Steps Post MACRA Implementation

by Jacqueline LaPointe

As CMS gets ready for MACRA implementation in the new year, CMS Acting Administrator Andy Slavitt urged healthcare and political leaders to carry on value-based care progress made under the Affordable...

What a Trump Presidency Means for Value-Based Care and the ACA

by Jennifer Bresnick

Love it or loathe it, the United States is headed for four years of drastic policy changes under a Donald Trump administration, giving lawmakers another good chance to repeal, replace, or revise the Affordable Care Act. The landmark...

Key Ways to Succeed Under MACRA’s Quality Payment Program

by Jacqueline LaPointe

Do not feel overwhelmed by the upcoming Quality Payment Program, a healthcare expert at CAPG, a non-profit trade association for accountable physician organizations, advised the projected 592,000 to...

CMS Announces New Advanced Alternative Payment Model Options

by Jacqueline LaPointe

CMS recently announced new opportunities for eligible clinicians to participate in an Advanced Alternative Payment Model (APM) under the Quality Payment Program in 2017 and 2018. The Oncology Care...

Industry Groups React to Final MACRA Implementation Rule

by Jacqueline LaPointe

In the week that the healthcare industry has had to digest the 2,400-page final MACRA implementation rule, many industry groups have come forward to express support for the rule, especially attestation...

How MACRA Implementation Rules Affect Provider Profitability

by Jacqueline LaPointe

New value-based reimbursement models under the Quality Payment Program will launch on Jan. 1, 2017, leaving a couple of months for providers to educate themselves on MACRA implementation rules and...

Impact of Quality Payment Program on Medicare Reimbursement

by Jacqueline LaPointe

With the final rule on MACRA implementation finally emerging, eligible clinicians were presented with a range of Quality Payment Program participation options that would impact Medicare reimbursement...

CMS Finalizes MACRA Implementation, Quality Payment Program

by Jacqueline LaPointe

CMS released the long-awaited final rule on MACRA implementation earlier today, which stated that the new value-based reimbursement system will start on Jan. 1, 2017. The final MACRA implementation rule...

GOP Doctors Caucus Suggests MACRA Implementation Changes

by Jacqueline LaPointe

In a recent letter to CMS Acting Administrator Andy Slavitt and Director of the Office of Management and Budget Shaun Donovan, the GOP Congressional Doctors Caucus called for several MACRA...

CMS Timelines for Stage 3 Meaningful Use, MACRA Implementation

by Jacqueline LaPointe

For Medicare providers, CMS has set the pace for quality improvements and healthcare payment reform through Stage 3 Meaningful Use and the Quality Payment Program (under MACRA implementation). The programs are designed to put providers on...

AMA Releases New MACRA Implementation Resources for Providers

by Jacqueline LaPointe

With a final ruling on the proposed MACRA implementation rule expected to arrive in early November, the American Medical Association (AMA) recently released three new tools to help healthcare providers...

CMS Selects 2 Orgs to Provide MACRA Implementation Support

by Jacqueline LaPointe

CMS will award up to $5 million to the Virginia Cardiac Service Quality Initiative and the American Psychological Association  to provide primary and specialist care providers with MACRA...