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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

MACRA Madness: Avoiding a Bad Outcome

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
April 3, 2017 Leave a Comment

3-point shot

The annual two-week slump in office productivity comes to a close tonight as the Madness known as the NCAA men’s college basketball tournament crowns its champion. Over the last 19 days we’ve seen … [Read more...]

Filed Under: Blog, MACRA Tagged With: ACI, Advanced APM, alternative payment model, APM, CMS, ESCO, MACRA, MIPS, QPP, Qualifying Participant, quality payment program

Bundles and Caps: What Are You Wearing?

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
February 6, 2017 Leave a Comment

Stadium crowd bundled and capped

How ‘bout that Super Bowl? Did you watch the entire game? Have a new favorite commercial? Some of you were probably decked out in your favorite team’s attire. Others (like yours truly) packed that … [Read more...]

Filed Under: Blog, ESRD QIP Tagged With: BPCI, bundled payment, Bundled Payments for Care Improvement Initiative, capitated payment, CMMI, CMS, Comprehensive Care and Joint Replacement Model, ESCO, Harvard Business Review, MA, MACRA, Medicare Advantage, Patients Act, prospective payment system, QIP, Quality Incentive Program, Terry Ketchersid

Great Expectations: Health IT in 2017

Dugan Maddux, MD, FACP, Vice President, Kidney Disease Initiatives
January 2, 2017 Leave a Comment

2017

Happy New Year! To get our Acumen blog off to a value-based start we asked health IT (HIT) experts to give us their perspective on HIT progress in 2016 and hopes for 2017. Please enjoy these 2016 … [Read more...]

Filed Under: Blog, Health IT Tagged With: 21st Century Cures Act, ACA, Acumen Physician Solutions, Affordable Care Act, Ahmed Sharif, Carequality, Carlos Muchiutti, CommonWell Health Alliance, comprehensive ESRD Care Demonstration, Connected Care and the Patient Experience, CSNPs, Dana Hensley, Diana Strubler, ESCO, ESCO quality program, Fee for Service, fee for value, FFS, FFV, FHIR API, Franklin Maddux, Fresenius Medical Care, Hugh Gaston, IHC CAHPS, internet of things, Interoperability, Jason Holcomb, Len Usvyat, MACRA, MACRA Final Rule, Mark E. Neumann, MIPS, Preety Sidhu, QPP, quality payment program, Ravi Kalathil, Sam Gopal, Sequoia Project, Telehealth, Terry Ketchersid

Advanced APM’s: Video Recap

Diana Strubler, Senior Manager, Policy and Analytics, Acumen Physician Solutions
November 10, 2016 Leave a Comment

Join us every Thursday, for the remainder of the year, as we present the third segment of our weekly Acumen MACRA series with a video recap of Monday's post. Today, Diana Strubler, Policy and … [Read more...]

Filed Under: Blog, MACRA, MACRA Series Tagged With: ACO, Advanced Alternative Payment Model, Advanced APM, APM, Centers of Medicare and Medicaid Services, CMS, Diana Strubler, EHR, electronic health record, EMR, ESCO, FLA, Health IT, MACRA, Meaningful Use, MIPS, MSSP, MU, nephrology, Physician value-based payment modifier, PQRS, QPP, quality payment program, regulatory, Terry Ketchersid, TLA, VPM

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 Easy Button…Trick or Treat?

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
October 31, 2016 4 Comments

Trick or treat?

Halloween! Can you believe it? All across the country this evening youngsters will don costumes in search of Treats, adults will shepherd their kids through neighborhoods, or stay behind to distribute … [Read more...]

Filed Under: Blog, MACRA, MIPS Tagged With: ACI, Advanced APM, advancing care information, Andy Slavitt, clinical practice improvement activities, CPIA, Diana Strubler, ESCO, MACRA, Meaningful Use, MIPS, RPA, Terry Ketchersid

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

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