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A Foolproof Way to Avoid a MIPS Penalty in 2017!

Diana Strubler, Senior Manager, Policy and Analytics, Acumen Physician Solutions
September 4, 2017 1 Comment

Take a shortcut to MIPS

Happy Labor Day! It’s a day where you can take things easy and try to let the worries of the world pass you by! On the flipside, it also marks the 28-day countdown to October 2nd. For most clinicians, … [Read more...]

Filed Under: Blog, MIPS Tagged With: AAPM, Advanced Alternative Payment Model, CMS, MACRA, Merit-Based Incentive Payment System, MIPS, QPP

Raising the MIPS Low-Volume Threshold: Good News or Bad?

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
August 21, 2017 Leave a Comment

squeezing the dollar

It was great to see so many Acumen blog readers at the recent Acumen Users Conference! For those of you who missed the meeting, MIPS and Advanced APMs were among the hot topics on the conference … [Read more...]

Filed Under: Blog, MIPS Tagged With: CMS, David Introcaso, Health Affairs blog, health and human services, low-volume threshold, LVT, MACRA, MIPS, QPP, quality payment program, Terry Ketchersid

The QPP in 2018: Fun with NPRM Numbers

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
July 24, 2017 Leave a Comment

Fun with NPRM numbers

It’s been just over a month since CMS released the notice of proposed rule making (NPRM) for the 2018 version of the Quality Payment Program (QPP). Diana masterfully unpacked much of the meat in that … [Read more...]

Filed Under: Blog, MIPS Tagged With: Advanced APM, CMS, comprehensive primary care plus models, ESCO, MIPS, Next Gen ACO, NPRM, QP, QPP, Qualifying Participant, quality payment program, Terry Ketchersid

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

June and the QPP

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
June 26, 2017 1 Comment

When it comes to the QPP, where do we begin?

Here we are in the last week of June, and what a busy month it has been. We kicked off the month with a face-to-face meeting in DC with CMMI, where ESCO participants joined Next Gen ACO participants … [Read more...]

Filed Under: Blog, QPP Tagged With: Advanced APM, advancing care information, CEC Model, CKD measures, CMMI, CMS, ESCO, ESRD, Hierarchical Condition Category, Medicare, MIPS, Patrick Conway, QP, QPP, quality payment program, Terry Ketchersid

MIPS Group Reporting: Better Together or on Your Own?

Diana Strubler, Senior Manager, Policy and Analytics, Acumen Physician Solutions
June 12, 2017 Leave a Comment

Will your practice report as individuals or as a group?

As if the Merit-based Incentive Payment System (MIPS) wasn’t complicated enough, here I am to further complicate things! (You’re welcome!) All kidding aside, I'm going to focus on the area in MIPS … [Read more...]

Filed Under: Blog, MIPS Tagged With: AAPM, Advanced Alternative Payment Model, Advanced APM, CMS, Diana Strubler, group reporting, Merit-Based Incentive Payment System, MIPS, MIPS Composite Performance Score

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

Intravenous Form of Sensipar® Has Been Approved by the FDA

Acumen Staff
May 8, 2017 Leave a Comment

Pharmacists are a critical component of the integrated care team

Parsabiv™ (etelcalcetide), an IV formulation similar to the oral calcimimetic Sensipar® (cinicalset), was recently approved by the U.S. Food and Drug Administration to treat secondary … [Read more...]

Filed Under: Blog, Experience of Care, Nephrology News Tagged With: calcimimetic drugs, Centers for Medicare and Medicaid Services, CMS, CMS bundle, ESRD bundled payment model, FMCNA, Fresenius Kidney Care, FreseniusRx, Jeffrey Hymes, Medicare Part B, Medicare Part D, Parsabiv, Sensipar

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