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MU, ACI and Hardship Exceptions: What’s a Nephrologist To Do?

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
July 11, 2016 Leave a Comment

2 paths diverge in the woods

Sometimes the heat and humidity encountered during the sultry summer months can smother you like a warm, wet blanket. You know the days I am talking about, right? If you wear glasses, when you step … [Read more...]

Filed Under: Blog, MACRA Tagged With: advancing care information, alternative payment models, APMs, APs, Diana Strubler, MACRA, Meaningful Use, Merit-Based Incentive Payment System, MIPS, MU, Office of the National Coordinator for HIT (ONCHIT), Stage 2, Terry Ketchersid

Solo and Small Practices Dancing with MACRA

Dugan Maddux, MD, FACP, Vice President, Kidney Disease Initiatives
June 27, 2016 Leave a Comment

Single HCP

Since April 27 the MACRA Notice of Proposed Rulemaking (NPRM) has been a hot topic. Last week, attendees at a nephrology medical meeting expressed concern about the impact of MACRA on solo and small … [Read more...]

Filed Under: Blog Tagged With: alternative payment models, Andy Slavitt, APMs, CMS, composite performance score, Congressman Sam Johnson, David Blumenthal, David Squires, Diana Strubler, Dugan Maddux, eligible clinicians, Health IT, MACRA, MIPS, National Coordinator for Health IT, Notice of Proposed Rulemaking, NPRM, PQRS, Table 64, Terry Ketchersid, The Commonwealth Fund

Resource Use: The Murky Waters of MIPS

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
June 20, 2016 1 Comment

Sea change ahead

Honestly, I was not going to do this to you. With the exception of Dugan Maddux’s recent post, the Acumen blog has been drowning in the ocean of MACRA for what seems like months now. But given that … [Read more...]

Filed Under: Blog, MACRA, VM Tagged With: clinical practice improvement, CMS, Diana Strubler, Dugan Maddux, E&M codes, MACRA, Medicare, medicare spending per beneficiary (MSPB), MIPS, MSPB, MU, NPI, Part A & B, PQRS, QRUR, resource use, Terry Ketchersid, Value-based Paymen Modifier (VM)

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

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