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Medicare Open Enrollment: Trick or Treat?

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
November 2, 2020 Leave a Comment

Greetings Acumen blog readers! I hope this note finds you safe and well in the midst of the chaos that surrounds us these days. I am a few days late with a Halloween-related post, but rest assured I … [Read more...]

Filed Under: Blog Tagged With: Medicare, Medicare Advantage, Open Enrollment

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

MACRA Montage – A video summary of MACRA blog posts in 2016

Diana Strubler, Senior Manager, Policy and Analytics, Acumen Physician Solutions
December 29, 2016 Leave a Comment

On Monday, Diana gave us A MACRA Mashup and a late Christmas Gift, which contained links to all the blogs, videos, and MIPS tips we’ve published during our MACRA series. Today, we are giving you … [Read more...]

Filed Under: Blog, MACRA, MACRA Series Tagged With: ACI, ACO, Acumen, Advanced Alternative Payment Model, Advanced APMs, advancing care information, APM, CMS, CPIA, Diana Strubler, ECs, EHRs, eligible clinicians, FLA, health and human services, HHS, MACRA, Medicare, Medicare Physician Fee Schedule, Medicare Shared Savings Program, MIPS, MUAAPM, PFS, quality payment program, Terry KetchersidAAPM

MIPs, MIPS APMs, Partial QPs, and Full QPs

Diana Strubler, Senior Manager, Policy and Analytics, Acumen Physician Solutions
December 22, 2016 Leave a Comment

Clinicians that are subject to the quality payment program next year will be designated as one of the following four options: • A full participant in MIPS • A “MIPS APM” participant • A partial … [Read more...]

Filed Under: Blog, MACRA, MACRA Series Tagged With: AAPM, ACO, Advanced Alternative Payment Model, APM, CMS, ECs, eligible clinicians, health and human services, HHS, MACRA, Medicare, Medicare Physician Fee Schedule, Medicare Shared Savings Program, MIPS, PFS, quality payment program, Terry Ketchersid

MACRA: Fun with Numbers!

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
December 19, 2016 Leave a Comment

Fun with numbers

Can you believe it? In less than 2 weeks, 2017 will be here, and with the New Year comes the biggest change to physician reimbursement our generation has seen. The newly minted Quality Payment … [Read more...]

Filed Under: Blog, MACRA, MACRA Series Tagged With: AAPM, ACO, Advanced Alternative Payment Model, APM, CMS, ECs, eligible clinicians, health and human services, HHS, MACRA, Medicare, Medicare Physician Fee Schedule, Medicare Shared Savings Program, MIPS, PFS, quality payment program, Terry Ketchersid

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)

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

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