Merit Based Incentive Payment System

MIPS Requirements for Clinicians in Small, Rural Hospitals

by Jacqueline LaPointe

In light of the unique challenges eligible clinicians in small and rural hospitals face, CMS developed special Merit-Based Incentive Payment System (MIPS) eligibility and reporting requirements for the...

CMS Expects to Release MIPS Participation Status By May 2017

by Jacqueline LaPointe

CMS anticipates notifying eligible clinicians about their Merit-Based Incentive Payment System (MIPS) participation status for 2017 via letter between late April through May, a recent email from the...

Oncologists Need Data Reporting, Time for MACRA Implementation

by Jacqueline LaPointe

Although MACRA launched the Quality Payment Program on Jan. 1, 2017, a recent American Society of Clinical Oncology (ASCO) report stated that many oncology practices still need to expand or improve...

MIPS Reporting Success Depends on Choosing Suitable Measures

by Jacqueline LaPointe

For Merit-Based Incentive Payment System (MIPS) reporting success, eligible clinicians should report on quality measures that they know their practice already performs well on, advised Michael Abrams,...

64% of Healthcare Providers Not Ready for MACRA Implementation

by Jacqueline LaPointe

Even though MACRA’s Quality Payment Program started on Jan. 1, approximately 64 percent of healthcare providers stated that they were either unprepared or very unprepared for MACRA implementation...

CMS Delays Rollout of Cardiac, Ortho Bundled Payment Programs

by Jennifer Bresnick

CMS is pushing back the start date for a number of its bundled payment programs in an effort to provide additional time to review and prepare for the initiatives. In a notice posted in the Federal...

MGMA to CMS: Notify Clinicians About MIPS Eligibility ASAP

by Jacqueline LaPointe

The Medical Group Management Association (MGMA) recently called on CMS Administrator Seema Verma to immediately release Merit-Based Incentive Payment System (MIPS) eligibility notifications as well as...

Understanding the Quality Payment Program’s Advanced APM Track

by Jacqueline LaPointe

From bundled payments to accountable care organizations, alternative payment models (APMs) are not new to healthcare providers. But the final MACRA implementation rule created a new subset of Advanced APMs, which could bring providers more...

AHA Critiques MedPAC’s Potential MACRA Implementation Changes

by Jacqueline LaPointe

The American Hospital Association (AHA) recently responded to potential MACRA implementation changes discussed at the Medicare Payment Advisory Commission’s (MedPAC) January meeting. The industry...

Exploring MIPS Advancing Care Info, Improvement Activities

by Jacqueline LaPointe

At HIMSS17, CMS leaders took the stage to ease provider concerns about the newly launched Quality Payment Program and its more popular value-based reimbursement track, the Merit-Based Incentive Payment...

Understanding 2017 MIPS Quality, Cost Performance Categories

by Jacqueline LaPointe

CMS leaders at HIMSS17 were not shy with telling session attendees that they are currently in the first Quality Payment Program performance year. To help providers better understand the program, which...

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...

How Palliative Care Can Maximize Value-Based Reimbursement

by Jacqueline LaPointe

Providers can boost value-based reimbursement success by incorporating early palliative care into routine cancer care delivery, a new study in the American Journal of Managed Care indicated. Researchers...

Top 5 Facts About the Merit-Based Incentive Payment System

by Jacqueline LaPointe

In October, CMS released the final MACRA implementation rule that will put the Quality Payment Program into action on Jan. 1, 2017. Under the new value-based reimbursement program, the federal agency...

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...

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...

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...

How CMS Would Reimburse ACOs for Value-Based Care under MIPS

by Jacqueline LaPointe

With a final rule on implementing MACRA coming in the next couple of months, some accountable care organizations (ACOs) have started to analyze new value-based reimbursement structures under the proposed...

Is MACRA a True Doc Fix for Value-Based Reimbursement?

by Jacqueline LaPointe

Will MACRA be the answer to tying reimbursements to quality care or will it be just end up as another doc fix, like those under the Sustainable Growth Rate program? A recent National Center for Policy...