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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

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

Good News: The 2015 Hardship Exception Arrives!

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
January 25, 2016 3 Comments

Good News!

Last week, the moment we’ve all been waiting for arrived. Not the first snowfall of the year many of us experienced thanks to a winter storm named Jonas. No, I am talking about the latest rendition of … [Read more...]

Filed Under: Meaningful Use Tagged With: 50% Rule, 90-day reporting period, CEHRT, Center for Medicare and Medicaid Services (CMS), CMS, Diana Strubler, EHR, EHR vendors, Hardship Exception Application, Meaningful Use, Meaningful Use Hardship Exception, MU, Patient Access and Medicare Protection Act, Terry Ketchersid

Looking for the Golden Fleece in 2016: JASON, FHIR, and the Argonaut Project

Dugan Maddux, MD, FACP, Vice President, Kidney Disease Initiatives
January 11, 2016 Leave a Comment

Welcome to 2016. Let’s jump right into the FHIR! In the January 4 Acumen blog post Terry Ketchersid mentioned Fast Healthcare Interoperability Resources (FHIR) as a 2016 product to “keep your eye on.” … [Read more...]

Filed Under: Blog, FHIR Tagged With: Acumen Blog, Argonaut Project, CCHIT, Dr. John Halamka, Dugan Maddux, EHRs, FHIR, Golden Fleece, Healthcare Informatics, HIEs, HIT, HL7, JASON, Meaningful Use, MU3, ONCHIT, public API, Super PAC, Terry Ketchersid

2016: Looking Back, Looking Forward

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
January 4, 2016 1 Comment

The holidays are behind us and we are off to a great start in 2016. I am sure you have each enjoyed your lucky New Year’s Day meal and have made several resolutions, which hopefully will come to … [Read more...]

Filed Under: Blog Tagged With: alternative payment models, American Society of Nephrology, APMs, Argonaut Project, CMMI, CMS, Diana Strubler, Dugan Maddux, ESCOs, ESRD, FHIR, ICD-10, MACRA, Meaningful Use, Meaningful Use Hardship Exception, Merit-Based Incentive Payment System, MIPS, Patient Access and Medicare Protection Act, Sustainable Growth Rate (SGR), Terry Ketchersid

From APM to VBP: Do you know your HIT Lingo?

Dugan Maddux, MD, FACP, Vice President, Kidney Disease Initiatives
December 21, 2015 Leave a Comment

How hip are you to textspeak? GM had me stumped for quite a while. I kept receiving emails that started with the greeting “GM” and I had no idea who GM was. After 50 emails it finally occurred to me … [Read more...]

Filed Under: Blog, Health IT Tagged With: ACO. ESCO, AHRQ, alternative payment models, APM, CEHRT, Don Berwick, Dugan Maddux, EHR, ESRD, FLEX-IT, Health IT News, HIE, HIT, MACRA, Meaningful Use, Merit-Based Incentive Payment System, MIPS, MU2, national provider identifier, Nephrologists, NQA, NQS Domains, Office of the National Coordinator for Health IT (ONCHIT), ONCHIT, PVBM, Sustainable Growth Rate (SGR), Terry Ketchersid, textspeak, value modifier, value-based purchasing, VBP

Hardship Roundup: A December Stocking Stuffer

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
December 14, 2015 Leave a Comment

Holiday stocking

With only 10 shopping days left before Christmas, I thought we would add one more item to your year-end to-do list. Last week Diana Strubler walked us through a very nice review of the current status … [Read more...]

Filed Under: Blog, MU hardship exemption Tagged With: 50% Rule, CMS, Diana Strubler, EHR incentive programs, health and human services, MACRA, MIPS, MU hardship exemption, MU Stage 3, Nephrologists, part B book of business, Terry Ketchersid

QRUR & the VM: It’s Worth a Look

Terry Ketchersid, MD, MBA, Chief Medical Officer - Integrated Care Group
November 23, 2015 2 Comments

As November comes to a close, there’s no better time to begin thinking about all of those year-end administrative tasks. Diana got us off to a great start last week with a very handy meaningful use … [Read more...]

Filed Under: Blog, QRUR, VM Tagged With: alternative payment models, APMs, Center for Medicare and Medicaid Services (CMS), CMS, cost composite score, EDIM, enterprise identity data management (EIDM) account, IACS, medicare spending per beneficiary (MSPB), MSPB, NPI, physician value-based payment modifier (VM), PQRS, QRUR, Quality and Resource Use Report (QRUR), Terry Ketchersid, VM

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