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Thanksgiving Leftovers: Advanced APMs and the 2019 QPP Final Rule

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
November 26, 2018 Leave a Comment

Half-eaten Thanksgiving turkey

Can you believe Thanksgiving is now in the rearview mirror and Christmas is less than a month away? Where has 2018 gone? It has been several weeks since my last post, and I am feeling a bit rusty. … [Read more...]

Filed Under: Alternative Payment Model (APM), Blog, ESCO, QPP

To QP, or Not to QP: Is That the Question?

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
May 1, 2017 Leave a Comment

To be, or not to be

Yes, I know Mr. Shakespeare would not be happy with that title, but on this first day of May I am afraid we are going to be revisiting that famous soliloquy from Hamlet as we unpack the long-awaited … [Read more...]

Filed Under: Alternative Payment Model (APM), Blog, MACRA, MACRA Series Tagged With: Advanced Alternative Payment Model, Advanced APM, CMS, ESCO, ESRD, MACRA, MIPS, QP, QPP, Qualifying Participant, quality payment program, Terry

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

MACRA, MIPS, and APMs: Clear as Mud?

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
May 9, 2016 Leave a Comment

Clear as mud

Last week Diana Strubler provided a wonderful overview of the MACRA implementation requirements published 10 days ago. This massive 962-page tome contains something for everybody. Over the past 6 … [Read more...]

Filed Under: Alternative Payment Model (APM), Blog, MIPS Tagged With: ACO, Advanced Alternative Payment Model, Advanced APM, All-Payer Combination Option, APM, APM Entity, APMs, CMMI, CMS, Diana Strubler, ESCO, MACRA, Medicare Option, Medicare Part B, Medicare Shared Savings Program, MIPS, MSSP, MU, PFS, PQRS, QP, Terry Ketchersid

MACRA, MIPS & APMs: Fun With Numbers

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
March 7, 2016 6 Comments

Hello March! The first full week of March can only mean one thing—selection Sunday for the greatest sporting event of the season is less than one week away! The men’s college basketball field is wide … [Read more...]

Filed Under: Alternative Payment Model (APM), MIPS Tagged With: alternative payment models, APM, CMS, ESCO, ESCO facility, ESRD patients, FTE nephrologist, MACRA, Medicare, Merit-Based Incentive Payment System, MIPS, PFS, RPA benchmarking survey, Terry Ketchersid

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