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MACRA in Images

Dugan Maddux, MD, FACP, Vice President, Kidney Disease Initiatives
May 16, 2016 Leave a Comment

MIPS eligible clinicians

A lot has been published about MACRA in the past weeks. The Quality Payment Program Notice of Proposed Rulemaking (NPRM) was published on April 27, 2016, and the Federal Register Proposed Rule … [Read more...]

Filed Under: Blog, MACRA Tagged With: ACI, Advanced Alternative Payment Model, advancing care information, alternative payment models, APM, APM participant, CMS, Diana Strubler, Dugan Maddux, eligible clinicians, Federal Register Proposed Rule, MACRA, Medicare Part B, Merit-Based Incentive Payment System, MIPS, NPRM, QP, quality payment program, Quality Payment Program Notice of Proposed Rulemaking, Quality Performance Category, Terry Ketchersid

How the MACRA Proposed Rule “Replaced” Meaningful Use

Diana Strubler, Senior Manager, Policy and Analytics, Acumen Physician Solutions
May 2, 2016 1 Comment

I’m not sure what’s worse, reading the 962-page MACRA proposed ruling while in Hawaii or realizing CMS released a gigantic document that still needs to be finalized before the first surveillance year … [Read more...]

Filed Under: Blog, MIPS Tagged With: ACI, advancing care information, alternative payment models, clinical practice improvement activities, CMS, composite performance score, CPIA, CPS, Diana Strubler, Dr. Ketchersid, MACRA, Meaningful Use, medicare access and CHIP reauthorization act, Merit-Based Incentive Payment System, MIPS, MU, performance score, PQRS, quality payment program, Stage 3, VM

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

2016: Looking Back, Looking Forward

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
January 4, 2016 1 Comment

The holidays are behind us and we are off to a great start in 2016. I am sure you have each enjoyed your lucky New Year’s Day meal and have made several resolutions, which hopefully will come to … [Read more...]

Filed Under: Blog Tagged With: alternative payment models, American Society of Nephrology, APMs, Argonaut Project, CMMI, CMS, Diana Strubler, Dugan Maddux, ESCOs, ESRD, FHIR, ICD-10, MACRA, Meaningful Use, Meaningful Use Hardship Exception, Merit-Based Incentive Payment System, MIPS, Patient Access and Medicare Protection Act, Sustainable Growth Rate (SGR), Terry Ketchersid

From APM to VBP: Do you know your HIT Lingo?

Dugan Maddux, MD, FACP, Vice President, Kidney Disease Initiatives
December 21, 2015 Leave a Comment

How hip are you to textspeak? GM had me stumped for quite a while. I kept receiving emails that started with the greeting “GM” and I had no idea who GM was. After 50 emails it finally occurred to me … [Read more...]

Filed Under: Blog, Health IT Tagged With: ACO. ESCO, AHRQ, alternative payment models, APM, CEHRT, Don Berwick, Dugan Maddux, EHR, ESRD, FLEX-IT, Health IT News, HIE, HIT, MACRA, Meaningful Use, Merit-Based Incentive Payment System, MIPS, MU2, national provider identifier, Nephrologists, NQA, NQS Domains, Office of the National Coordinator for Health IT (ONCHIT), ONCHIT, PVBM, Sustainable Growth Rate (SGR), Terry Ketchersid, textspeak, value modifier, value-based purchasing, VBP

QRUR & the VM: It’s Worth a Look

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
November 23, 2015 2 Comments

As November comes to a close, there’s no better time to begin thinking about all of those year-end administrative tasks. Diana got us off to a great start last week with a very handy meaningful use … [Read more...]

Filed Under: Blog, QRUR, VM Tagged With: alternative payment models, APMs, Center for Medicare and Medicaid Services (CMS), CMS, cost composite score, EDIM, enterprise identity data management (EIDM) account, IACS, medicare spending per beneficiary (MSPB), MSPB, NPI, physician value-based payment modifier (VM), PQRS, QRUR, Quality and Resource Use Report (QRUR), Terry Ketchersid, VM

Migrating from Volume to Value: Are you ready?

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
November 2, 2015 Leave a Comment

Migrating geese

Can you believe it’s already November? Seems like only a few months ago we were discussing the SGR repeal. Now the leaves have fallen, college football is in full swing, and as I type, the World … [Read more...]

Filed Under: Blog, MIPS Tagged With: alternative payment models, APM, BPCI, Bundled Payments for Care Improvement, CCJR, chronic care management codes, Comprehensive Care and Joint Replacement program, ESCOs, MIPS, NEJM, Robert Mechanic, Sylvia Burwell, Terry Ketchersid

SGR Repeal: There’s a new Sheriff in Town

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
April 27, 2015 1 Comment

Sheriff badge

A couple of weeks ago, organized medicine along with most physicians in this country breathed a sigh of relief when the Senate followed the House and overwhelmingly voted to repeal the Sustainable … [Read more...]

Filed Under: Blog, Meaningful Use, PQRS Tagged With: alternative payment models, APMs, clinical practice improvement, CMS, CMS triple threat, composite performance score, EHR, ESCOs, Meaningful Use, Medicare, Merit-Based Incentive Payment System, MIPS, PQRS, sustainable growth rate, Sustainable Growth Rate (SGR), Terry Ketchersid, value-based payment modifier, VM

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