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Advanced APMs: Return of the FLA

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
November 7, 2016 2 Comments

Participant

Ah, the day before the election. Hard to believe that sideshow known as the Presidential race is coming to a close. As I’ve mentioned before, we tend to steer clear of religion and politics in the … [Read more...]

Filed Under: Blog, MACRA, MACRA Series Tagged With: ACO, Advanced Alternative Payment Model, Advanced APM, APM, CMS, ESCO, FLA, MACRA, Meaningful Use, MIPS, MSSP, MU, Physician value-based payment modifier, PQRS, QPP, quality payment program, Terry Ketchersid, TLA, VPM

MIPS Easy Button…Trick or Treat?

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
October 31, 2016 4 Comments

Trick or treat?

Halloween! Can you believe it? All across the country this evening youngsters will don costumes in search of Treats, adults will shepherd their kids through neighborhoods, or stay behind to distribute … [Read more...]

Filed Under: Blog, MACRA, MIPS Tagged With: ACI, Advanced APM, advancing care information, Andy Slavitt, clinical practice improvement activities, CPIA, Diana Strubler, ESCO, MACRA, Meaningful Use, MIPS, RPA, Terry Ketchersid

MIPS Relief? Mr. Slavitt Offers a Sneak Peek

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
September 19, 2016 Leave a Comment

Relief ahead sign

September is almost behind us, and with its passage most of us will enjoy relief from the sometimes-oppressive summer heat. Recently, CMS Acting Administrator Andy Slavitt served up a bit of relief of … [Read more...]

Filed Under: Blog, MACRA, MIPS Tagged With: ACO, Advanced APM, alternative payment models, Andy Slavitt, clinical practice improvement activities, CMS, CPIA, EHR, ESCO, MACRA, Meaningful Use, Merit-Based Incentive Payment System, MIPS, MSSP, Physician value-based payment modifier, Terry Ketchersid, VPM

APM Redux

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
August 22, 2016 2 Comments

Most clinicians will be subject to MIPS

Last weekend I spent some time with family in the cool weather of the Appalachian Mountains. While there I had the opportunity to go fly fishing. It’s important to understand that yours truly is not … [Read more...]

Filed Under: Alternative Payment Model (APM), Blog Tagged With: AAPM, ACI, ACO, Advanced Alternative Payment Model, advancing care information, alternative payment models, APM, Center for Medicare and Medicaid Services (CMS), clinical practice improvement activities, CMS, CPIA, ESCO, MACRA, Merit-Based Incentive Payment System, MIPS, MSSP, Partial QP, resource use, Terry Ketchersid

APM: Just Another TLA?

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
August 1, 2016 3 Comments

Diagram of offense or defense

In the world of TLAs (three-letter acronyms), the APM, or alternative payment model, is a TLA we certainly need to pay attention to. APMs are a collection of new healthcare payment frameworks that are … [Read more...]

Filed Under: Alternative Payment Model (APM), Blog Tagged With: Accountable Care Organization, ACO, Affordable Care Act, APM, BPCI, Bundled Payments for Care Improvement, Center for Medicare and Medicaid Innovation, CJR, CMMI, CMS, Comprehensive Care and Joint Replacement Model, health and human services, HHS, MACRA, Medicare Shared Savings Program, MIPS, MSSP, New England Journal of Medicine, Robert Kocher, Sylvia Burwell, Terry Ketchersid

MU, ACI and Hardship Exceptions: What’s a Nephrologist To Do?

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
July 11, 2016 Leave a Comment

2 paths diverge in the woods

Sometimes the heat and humidity encountered during the sultry summer months can smother you like a warm, wet blanket. You know the days I am talking about, right? If you wear glasses, when you step … [Read more...]

Filed Under: Blog, MACRA Tagged With: advancing care information, alternative payment models, APMs, APs, Diana Strubler, MACRA, Meaningful Use, Merit-Based Incentive Payment System, MIPS, MU, Office of the National Coordinator for HIT (ONCHIT), Stage 2, Terry Ketchersid

Resource Use: The Murky Waters of MIPS

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
June 20, 2016 1 Comment

Sea change ahead

Honestly, I was not going to do this to you. With the exception of Dugan Maddux’s recent post, the Acumen blog has been drowning in the ocean of MACRA for what seems like months now. But given that … [Read more...]

Filed Under: Blog, MACRA, VM Tagged With: clinical practice improvement, CMS, Diana Strubler, Dugan Maddux, E&M codes, MACRA, Medicare, medicare spending per beneficiary (MSPB), MIPS, MSPB, MU, NPI, Part A & B, PQRS, QRUR, resource use, Terry Ketchersid, Value-based Paymen Modifier (VM)

Quality: The Overnight MACRA Sensation

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
May 30, 2016 1 Comment

Another trip around the sun

As I get older, I find the days on the calendar move by faster, even though I am certain the earth still spins at the same speed it did last year. Reminds me of the lyrics from that classic Pink Floyd … [Read more...]

Filed Under: Blog, MACRA Tagged With: Advanced Alternative Payment Model, advancing care information, APM, clinical practice improvement activities, MACRA, Merit-Based Incentive Payment System, MIPS, NPRM, P4P, P4R, physician value-based payment modifier (VM), Pink Floyd, PQRS, PQRS measures group, QCDR, resource use, RPA, Terry Ketchersid, VM

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