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Tom Price Deplanes: What This Means for MACRA

Diana Strubler, Senior Manager, Policy and Analytics, Acumen Physician Solutions
October 2, 2017 Leave a Comment

Take off

Last week was a difficult week. My 5-year old gave herself a new haircut (which involved very short bangs) and we found that she is allergic to peanut butter. Both discoveries involved a lot of tears … [Read more...]

Filed Under: Blog, MACRA, MACRA Series Tagged With: Affordable Care Act, Department of Health and Human Services, Diana Strubler, Don J Wright, HHS, MACRA, medicare access and CHIP reauthorization act, Seema Verma, Tom Price

A Summary of the 2018 MACRA Proposed Rule

Diana Strubler, Senior Manager, Policy and Analytics, Acumen Physician Solutions
July 3, 2017 1 Comment

MIPS final rule like early fireworks

Fireworks started early this year in Washington. Not only did the Senate reveal a draft of the healthcare reform plan, but the Centers for Medicare and Medicaid Services (CMS) also unveiled another … [Read more...]

Filed Under: Blog, MACRA, MACRA Series, MIPS Tagged With: 21st Century Cures Act, ACI, Advanced APM, advancing care information, CMS, CMS MACRA, Diana Strubler, HCC, Hierarchical Condition Category, MIPS, MIPS composite score, QPP, quality category, quality payment program, Seema Verma, Terry Ketchersid, Tom Price

MACRA: The Lesser of 2 Evils?

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
May 29, 2017 1 Comment

Looking to the past and the future

A few weeks ago, I had the privilege of attending our annual Fresenius Medical Care Medical Directors meeting. The meeting was well attended and the participants were actively engaged. The MACRA … [Read more...]

Filed Under: Blog, MACRA, MACRA Series, MIPS Tagged With: Andy Howard, CKD Measures Group, CMS, MACRA, Meaningful Use, Merit-Based Incentive Payment System, Michael McWilliams, MIPS, PQRS, QPP, quality payment program, SGR, Sustainable Growth Rate (SGR), Terry Ketchersid, VM

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

What Will Happen to MACRA Under a Trump Administration?

Diana Strubler, Senior Manager, Policy and Analytics, Acumen Physician Solutions
February 20, 2017 Leave a Comment

Mount Rushmore presidents

It’s President’s Day! While doing some quick research, I concluded that some consider today a day to recognize all presidents, past and present. Others consider it a celebration of certain key … [Read more...]

Filed Under: Blog, MACRA, MACRA Series Tagged With: AAPS, ACA, Affordable Care Act, Diana Strubler, HHS, Jane Orient, MACRA, medicare access and CHIP reauthorization act, MGMA, Office of the National Coordinator for Health IT (ONCHIT), Seema Verma, Tom Price, Trump Administration

Quality Benchmarks: How to Estimate Your MIPS Quality Score

Diana Strubler, Senior Manager, Policy and Analytics, Acumen Physician Solutions
January 23, 2017 3 Comments

Assigning points based on deciles

I was going to write about something other than MIPS but I truly couldn’t resist. The temptation was just too great—especially after Dr. Terry Ketchersid really shook things up with his latest blog on … [Read more...]

Filed Under: Blog, MACRA, MACRA Series, MIPS Tagged With: ACI hardships, ACOs, advancing care information, APM, CAHPS, Diana Strubler, Improvement Activities, Medicare Shared Savings Program, MIPS, PQRS, quality category, Terry Ketchersid

MACRA Montage – A video summary of MACRA blog posts in 2016

Diana Strubler, Senior Manager, Policy and Analytics, Acumen Physician Solutions
December 29, 2016 Leave a Comment

On Monday, Diana gave us A MACRA Mashup and a late Christmas Gift, which contained links to all the blogs, videos, and MIPS tips we’ve published during our MACRA series. Today, we are giving you … [Read more...]

Filed Under: Blog, MACRA, MACRA Series Tagged With: ACI, ACO, Acumen, Advanced Alternative Payment Model, Advanced APMs, advancing care information, APM, CMS, CPIA, Diana Strubler, ECs, EHRs, eligible clinicians, FLA, health and human services, HHS, MACRA, Medicare, Medicare Physician Fee Schedule, Medicare Shared Savings Program, MIPS, MUAAPM, PFS, quality payment program, Terry KetchersidAAPM

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