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Quality Benchmarks: How to Estimate Your MIPS Quality Score

Diana Strubler, Senior Manager, Policy and Analytics, Acumen Physician Solutions
January 23, 2017 3 Comments

Assigning points based on deciles

I was going to write about something other than MIPS but I truly couldn’t resist. The temptation was just too great—especially after Dr. Terry Ketchersid really shook things up with his latest blog on … [Read more...]

Filed Under: Blog, MACRA, MACRA Series, MIPS Tagged With: ACI hardships, ACOs, advancing care information, APM, CAHPS, Diana Strubler, Improvement Activities, Medicare Shared Savings Program, MIPS, PQRS, quality category, 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

APM: Just Another TLA?

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
August 1, 2016 3 Comments

Diagram of offense or defense

In the world of TLAs (three-letter acronyms), the APM, or alternative payment model, is a TLA we certainly need to pay attention to. APMs are a collection of new healthcare payment frameworks that are … [Read more...]

Filed Under: Alternative Payment Model (APM), Blog Tagged With: Accountable Care Organization, ACO, Affordable Care Act, APM, BPCI, Bundled Payments for Care Improvement, Center for Medicare and Medicaid Innovation, CJR, CMMI, CMS, Comprehensive Care and Joint Replacement Model, health and human services, HHS, MACRA, Medicare Shared Savings Program, MIPS, MSSP, New England Journal of Medicine, Robert Kocher, Sylvia Burwell, 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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