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New Reality of Medicare Physician Payments, Future with MIPS
- The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) was enacted by Congress to address issues related to physician payments under Medicare. The primary goal of MACRA was to move away from the traditional fee-for-service payment model and towards a value-based payment system. MACRA introduced the Quality Payment Program (QPP), which...
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Most Surgeons Earned MIPS Bonus Payments in 2021, Study Finds
Most surgical healthcare professionals participating in the Merit-based Incentive Payment System (MIPS) earned bonus payments in 2021, with urologists seeing the highest adjustment, a study published...Regulatory Burdens in Healthcare Take Away from Patient Care
Regulatory burdens in healthcare, such as prior authorizations, surprise billing requirements, and audits and appeals, are taking resources away from patient care as practices face more...MGMA: Sustainable Financing Needed to Protect Rural Healthcare
Physician and facility reimbursement for rural practices is not sustainable and is impacting patient access to rural healthcare, the Medical Group Management Association (MGMA) tells Congress in a new...NAACOS: Medicare Payment Incentives Favor Clinicians in Fee-For-Service
Medicare payment incentives favor clinicians participating in fee-for-service models rather than those in advanced alternative payment models (APMs), according to the National Association of...Sponsored by Brault
MIPS Value Pathways: Pros and Cons for Emergency Medicine Physicians
A new option under CMS' Merit-Based Payment Incentive System (MIPS) aims to streamline reporting requirements and align quality measures with specific specialties. However, emergency physicians and...Study Finds MIPS Scores Don’t Reflect True Quality Performance
A recent study out of the Weill Cornell Medical College questions whether the Merit-Based Incentive Payment System (MIPS) accurately captures the quality of care delivered by primary care...Healthcare Orgs Urge Congress to Improve Value-Based Care Participation
Healthcare groups have called on Congress to extend incentive payments, revise threshold requirements, and expand regulatory waivers to address concerns about the Medicare Access and CHIP...CMS Nixes MIPS Facility-Based Scoring for 2022 Performance Year
Facility-based scoring in the Merit-Based Incentive Payment System (MIPS) will not be available for the 2022 performance year after recent changes to the Hospital Value-Based Purchasing (VBP) Program,...CMS Proposes Quality Payment Program Updates in CY23 PFS Rule
In its recently released calendar year (CY) 2023 Medicare Physician Fee Schedule (PFS) proposed rule, CMS proposed Quality Payment Program (QPP) changes to the Merit-based Incentive Payment System...Breaking Down Common CMS Value-Based Payment Programs
Value-based payment programs tie healthcare reimbursement rates to quality care by offering providers incentive payments to meet specified quality measures during and after healthcare delivery. As the industry moves away from...CMS Plans to Reweight 2021 MIPS Cost Performance Category
CMS will reweight the cost performance category under the Merit-Based Incentive Payment System (MIPS) for the 2021 performance period due to the COVID-19 pandemic’s impact on clinicians and cost...Psychiatrists See Low Merit-Based Incentive Payment System Scores
Psychiatrists had significantly lower performance scores, received more penalties, and earned fewer bonuses in the 2020 Medicare Merit-Based Incentive Payment System (MIPS) compared to other outpatient...Automatic MIPS Participation Exemption for Individual Eligible Clinicians
CMS is exempting all individual eligible clinicians from Merit-Based Incentive Payment System (MIPS) participation in the 2021 performance year (PY). The eligible clinicians will receive an automatic...Prior Authorizations Beat COVID Workplace as Top Regulatory Burden
Prior authorizations are troubling medical groups more than regulations governing the workplace during COVID-19 and Medicare’s Quality Payment Program, according to survey results from the...Sponsored by Brault