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Happy Friday, Acumen Blog Readers—We’re Celebrating a Birthday and a Chance to Win!

Acumen Staff
September 23, 2016 12 Comments

Happy 6th birthday to the Acumen blog

Last Saturday, September 17, we celebrated the 6th anniversary of our blog. Over the past 6 years, we have seen a lot of changes in health care, especially with regard to nephrology and technology. … [Read more...]

Filed Under: Blog Tagged With: Acumen Blog, Ahmed Sharif, Carl Schick, Claudiu Coltea, Diana Strubler, Dugan Maddux, Megan McConnell, Terry Ketchersid

MIPS Relief? Mr. Slavitt Offers a Sneak Peek

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

Relief ahead sign

September is almost behind us, and with its passage most of us will enjoy relief from the sometimes-oppressive summer heat. Recently, CMS Acting Administrator Andy Slavitt served up a bit of relief of … [Read more...]

Filed Under: Blog, MACRA, MIPS Tagged With: ACO, Advanced APM, alternative payment models, Andy Slavitt, clinical practice improvement activities, CMS, CPIA, EHR, ESCO, MACRA, Meaningful Use, Merit-Based Incentive Payment System, MIPS, MSSP, Physician value-based payment modifier, Terry Ketchersid, VPM

APM Redux

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
August 22, 2016 2 Comments

Most clinicians will be subject to MIPS

Last weekend I spent some time with family in the cool weather of the Appalachian Mountains. While there I had the opportunity to go fly fishing. It’s important to understand that yours truly is not … [Read more...]

Filed Under: Alternative Payment Model (APM), Blog Tagged With: AAPM, ACI, ACO, Advanced Alternative Payment Model, advancing care information, alternative payment models, APM, Center for Medicare and Medicaid Services (CMS), clinical practice improvement activities, CMS, CPIA, ESCO, MACRA, Merit-Based Incentive Payment System, MIPS, MSSP, Partial QP, resource use, Terry Ketchersid

From MACRA to Imagination

Dugan Maddux, MD, FACP, Vice President, Kidney Disease Initiatives
August 8, 2016 Leave a Comment

Golden Ticket

In recent weeks Diana Strubler and Terry Ketchersid have provided expert advice and guidance about MACRA, MIPS, APMs, and a variety of other critical TLAs (three-letter acronyms). In the here and now, … [Read more...]

Filed Under: Blog, MACRA Tagged With: Adrian Slywotzky, Diana Strubler, Dugan Maddux, Golden Ticket, Health Market 2.0, IBM Watson Health, MACRA, Oliver Wyman Health Innovation Center, Precision Medicine, Surgical Theater, Terry Ketchersid, Tom Main

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

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)

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