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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, 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

How the MACRA Proposed Rule “Replaced” Meaningful Use

Diana Strubler, Senior Manager, Policy and Analytics, Acumen Physician Solutions
May 2, 2016 1 Comment

I’m not sure what’s worse, reading the 962-page MACRA proposed ruling while in Hawaii or realizing CMS released a gigantic document that still needs to be finalized before the first surveillance year … [Read more...]

Filed Under: Blog, MIPS Tagged With: ACI, advancing care information, alternative payment models, clinical practice improvement activities, CMS, composite performance score, CPIA, CPS, Diana Strubler, Dr. Ketchersid, MACRA, Meaningful Use, medicare access and CHIP reauthorization act, Merit-Based Incentive Payment System, MIPS, MU, performance score, PQRS, quality payment program, Stage 3, VM

Quality: More Than Checking a Box

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
February 15, 2016 Leave a Comment

For a number of months, I have been spending a lot of time thinking about value-based healthcare. As mentioned in this blog before, we are in the midst of a substantial transition, one that moves us … [Read more...]

Filed Under: Blog, MIPS Tagged With: ACO, Agency for Healthcare Research and Quality (AHRQ), BPCI, dialysis QIP, EHR, ESCO, ESRD, Meaningful Use, Merit-Based Incentive Payment System, Michael Porter, MIPS, MU, National Quality Measures Clearinghouse, NEJM, Office of the National Coordinator for Health IT (ONCHIT), physician VM, PQRS, QIP, Terry Ketchersid, value-based healthcare

Health IT in 2016: Save the Dates

Diana Strubler, Senior Manager, Policy and Analytics, Acumen Physician Solutions
February 8, 2016 Leave a Comment

Important dates to know

The day after the Super Bowl is always a tough one. According to a 2008 report, over 1.5 million workers will call in sick today, and millions more will be late. Perhaps it’s the 325 million gallons … [Read more...]

Filed Under: Blog, Health IT Tagged With: CMS, Diana Strubler, Dr. Ketchersid, hardship application, Meaningful Use, Meaningful Use Hardship Exception, Medicare PFS, MIPS, MU, Patient Access and Medicare Protection Act, PHA, PQRS, PQRS claims submission, PQRS payment adjustment, QRUR

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