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Clinical Practice Improvement Activities: The New Kid on the Block

Diana Strubler, Senior Manager, Policy and Analytics, Acumen Physician Solutions
June 13, 2016 Leave a Comment

New kid on the block

Last week Dr. Dugan Maddux kindly gave us a reprieve from all of the MACRA talk on the blog. However, that break was short lived as we continue to unpackage the monster that is MIPS. With the first … [Read more...]

Filed Under: Blog, MACRA Tagged With: ACI, APM, clinical practice improvement activities, CMS, Comprehensive Primary Care Initiative, CPIA, CPS, Diana Strubler, Dugan Maddux, HHS, MACRA, Meaningful Use, MIPS, MIPS Composite Performance Score, MU, National Committee for Quality Assurance, National Quality Strategy, NCQA, NQS, PCMH, PQRS, Quality Innovation Network-Quality Improvement Organization, 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

MIPS and the Small Practice

Diana Strubler, Senior Manager, Policy and Analytics, Acumen Physician Solutions
May 23, 2016 Leave a Comment

Table 64

Last week Dr. Dugan Maddux brought us a wonderful display of colorful images to help us digest the contents of the MACRA proposed ruling. At a high-level view, the program initially doesn’t seem like … [Read more...]

Filed Under: Blog, MACRA Tagged With: Andy Slavitt, APM, CMS, Diana Strubler, Dugan Maddux, MACRA, medicare part, MIPS, MU Stage 2, Physician Compare, PQRS, quality payment program, Terry Ketchersid

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

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

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

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

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