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The QPP in 2018: Fun with NPRM Numbers

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
July 24, 2017 Leave a Comment

Fun with NPRM numbers

It’s been just over a month since CMS released the notice of proposed rule making (NPRM) for the 2018 version of the Quality Payment Program (QPP). Diana masterfully unpacked much of the meat in that … [Read more...]

Filed Under: Blog, MIPS Tagged With: Advanced APM, CMS, comprehensive primary care plus models, ESCO, MIPS, Next Gen ACO, NPRM, QP, QPP, Qualifying Participant, quality payment program, Terry Ketchersid

A Summary of the 2018 MACRA Proposed Rule

Diana Strubler, Senior Manager, Policy and Analytics, Acumen Physician Solutions
July 3, 2017 1 Comment

MIPS final rule like early fireworks

Fireworks started early this year in Washington. Not only did the Senate reveal a draft of the healthcare reform plan, but the Centers for Medicare and Medicaid Services (CMS) also unveiled another … [Read more...]

Filed Under: Blog, MACRA, MACRA Series, MIPS Tagged With: 21st Century Cures Act, ACI, Advanced APM, advancing care information, CMS, CMS MACRA, Diana Strubler, HCC, Hierarchical Condition Category, MIPS, MIPS composite score, QPP, quality category, quality payment program, Seema Verma, Terry Ketchersid, Tom Price

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: The Lesser of 2 Evils?

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
May 29, 2017 1 Comment

Looking to the past and the future

A few weeks ago, I had the privilege of attending our annual Fresenius Medical Care Medical Directors meeting. The meeting was well attended and the participants were actively engaged. The MACRA … [Read more...]

Filed Under: Blog, MACRA, MACRA Series, MIPS Tagged With: Andy Howard, CKD Measures Group, CMS, MACRA, Meaningful Use, Merit-Based Incentive Payment System, Michael McWilliams, MIPS, PQRS, QPP, quality payment program, SGR, Sustainable Growth Rate (SGR), Terry Ketchersid, VM

Nephrology News Roundup

Acumen Staff
February 13, 2017 Leave a Comment

Here’s a roundup of nephrology news over the past few weeks. Click on the headlines to browse the articles. Or, if you’ve discovered other newsworthy items that may be of interest to our team or your … [Read more...]

Filed Under: Nephrology News Tagged With: ACA, Affordable Care Act, Amgen, Centers for Medicare and Medicaid Services, chronic kidney disease, CKD, CMS, FDA, mHealth, MIPS, NDD-CKD, Parsabiv, suPAR, Terry Ketchersid

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

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

ACI Hardships: Old Dog, New Trick

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
January 9, 2017 4 Comments

Dog jumping through hoops

Happy New Year—2017 is here! College football will have a new champion tonight, college hoops is in full swing, and we are now 9 days into the new Quality Payment Program. Time flies when you are … [Read more...]

Filed Under: Blog, MACRA, MU hardship exemption Tagged With: 50% Rule, ACI, ACI hardships, advancing care information, American Recovery and Reinvestment Act, APMs, ARRA, CEHRT, CMS, Diana Strubler, EHR, MACRA, Meaningful Use Hardship Exception, MIPS, PQRS, QPP, quality payment program, Stage 1 MU, Terry Ketchersid, value-based payment modifier

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