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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 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

Potential MACRA Delay Ahead?: Preparing for a Time of Uncertainty

Diana Strubler, Senior Manager, Policy and Analytics, Acumen Physician Solutions
July 25, 2016 Leave a Comment

Uncertainty Just Ahead sign

If trying to follow regulatory programs has you feeling like a 20-year-old trying to catch Pokémon, join the club! However, for those just trying to see patients and run a practice, it is extremely … [Read more...]

Filed Under: Blog, MACRA Tagged With: 2016 Medicare Physician Fee Schedule, ACO, Acumen PQRS Registry, advancing care information, Andy Slavitt, CMS, Diana Strubler, EHR Regulatory Relief Act, ESCO, MACRA, Meaningful Use, medicare access and CHIP reauthorization act, Merit-Based Incentive Payment System, MIPS, MU, PQRS, QRUR, Senator John Thune, Stage 2, value-based payment modifier, VM

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

Quality: More Than Checking a Box

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
February 15, 2016 Leave a Comment

For a number of months, I have been spending a lot of time thinking about value-based healthcare. As mentioned in this blog before, we are in the midst of a substantial transition, one that moves us … [Read more...]

Filed Under: Blog, MIPS Tagged With: ACO, Agency for Healthcare Research and Quality (AHRQ), BPCI, dialysis QIP, EHR, ESCO, ESRD, Meaningful Use, Merit-Based Incentive Payment System, Michael Porter, MIPS, MU, National Quality Measures Clearinghouse, NEJM, Office of the National Coordinator for Health IT (ONCHIT), physician VM, PQRS, QIP, Terry Ketchersid, value-based healthcare

Spanning the Great Divide: Translating Medicine and Business into a Common Language

Dugan Maddux, MD, FACP, Vice President, Kidney Disease Initiatives
September 28, 2015 Leave a Comment

Bridge crossing chasm

Welcome to the ICD Top 10 Countdown! ICD-10 is 2 days 15 hours and counting. Remember 15 years ago how everyone planned for Y2K, but 12:01 a.m. on January 1, 2000, came and we were all still here? … [Read more...]

Filed Under: Blog Tagged With: ACO, Brendan Saloner, Dugan Maddux, ICD-10, Jose Pagan, Katy Payne, patient-centered medical homes, PCMH, value-based payment models, whale songs

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