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Physician Specialists Gain More Opportunities for Medicare Bonus Payments Tied to Quality

By Avalere Physician specialists have more than 700 measures available for reporting under the Merit-Based Incentive Payment System (MIPS) through Qualified Clinical Data Registries (QCDRs), according to new research by Avalere Health, an Inovalon Company. MIPS is the value-based physician payment program created under the Medicare Access CHIP Reauthorization Act (MACRA) of 2015. Under MIPS, physicians must report on three areas to receive bonus payments: performance against quality measures, practice improvement activities, and implementation of meaningful use components. One reporting option is a QCDR, a tool to collect data that was established by the Centers for Medicare & Medicaid Services (CMS) in 2014. In June, CMS released the 2017 QCDR list, which included 113 total registries, an increase of 61 percent from the 69 approved registries in 2016. The increase in QCDRs makes 478 more measures available for reporting to clinicians, bringing the total to over 700. Beginning this year, clinicians participating in MIPS must report on six quality measures to be eligible for a bonus payment. According to Avalere, the expanded list of QCDRs offers clinicians flexibility in meeting these reporting requirements by allowing them to report on measures more relevant to their specialty. QCDRs may also be a valuable vehicle to fill measure gaps for specialties where measures have not yet been developed. “Some physicians have expressed concern about the lack of meaningful specialty-focused quality measures available for reporting,” said Nelly Ganesan, a senior director at Avalere. “The QCDRs are one way to alleviate some of that concern.” Avalere experts also note that the lengthy and resource-intensive process involved in measure development ... Read More

 

Take Aways from RISE Nashville Summit

The 11th Annual RISE Nashville Summit continued the event’s tradition of yearly growth. The return to downtown Nashville was widely applauded by attendees, who were glad to be back near Broadway’s nighttime funk and fun. While festive, this year's event occurred in the wake of the new administration in Washington, D.C., and the healthcare themes surrounding the "repeal and replace" of the Affordable Care Act (ACA) cast a long shadow. In contrast to the upbeat, confident notes struck by last year’s keynote speaker Senator Tom Daschle, this year’s sobering keynote address by Howard Fineman, NBC/MSNBC political analyst, The Huffington Post Media Group global editorial director, and bestselling author, was an assessment of the pluses and minuses of our new president. Mr. Fineman's remarks indicated that the political alliances in power will seek to undo what Senator Daschle viewed as "irreversible” a year ago.... Read More

 

A Brief Introduction to ACO Quality Measures

Tim Buxton, MBA, CPC, CIC, COC, CRC, CCS, CHP December 14, 2015 Affordable Care Organizations (ACO’s) are much in the news; but what is an ACO, and how can we measure its success? ACO’s have been established as interwoven healthcare entities with the intent to coordinate high quality care at a cost savings. They treat traditional Medicare patients, and are compensated by sharing in the savings the ACO achieves for Medicare. One CMS measurement of an ACO achieving its goals are the application and requirement for reporting of Quality Measures. Each ACO must demonstrate that it has met certain requirements regarding the care and satisfaction of its patients.... Read More

 

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Physician Specialists Gain More Opportunities for Medicare Bonus Payments Tied to Quality

By Avalere Physician specialists have more than 700 measures available for reporting under the Merit-Based Incentive Payment System (MIPS) through Qualified Clinical Data Registries (QCDRs), according to new research by Avalere Health, an Inovalon Company. MIPS is the value-based physician payment program created under the Medicare Access CHIP Reauthorization Act (MACRA) of 2015. Under MIPS, physicians must report on three areas to receive bonus payments: performance against quality measures, practice improvement activities, and implementation of meaningful use components. One reporting option is a QCDR, a tool to collect data that was established by the Centers for Medicare & Medicaid Services (CMS) in 2014. In June, CMS released the 2017 QCDR list, which included 113 total registries, an increase of 61 percent from the 69 approved registries in 2016. The increase in QCDRs makes 478 more measures available for reporting to clinicians, bringing the total to over 700. Beginning this year, clinicians participating in MIPS must report on six quality measures to be eligible for a bonus payment. According to Avalere, the expanded list of QCDRs offers clinicians flexibility in meeting these reporting requirements by allowing them to report on measures more relevant to their specialty. QCDRs may also be a valuable vehicle to fill measure gaps for specialties where measures have not yet been developed. “Some physicians have expressed concern about the lack of meaningful specialty-focused quality measures available for reporting,” said Nelly Ganesan, a senior director at Avalere. “The QCDRs are one way to alleviate some of that concern.” Avalere experts also note that the lengthy and resource-intensive process involved in measure development ...
Read More

Take Aways from RISE Nashville Summit

The 11th Annual RISE Nashville Summit continued the event’s tradition of yearly growth. The return to downtown Nashville was widely applauded by attendees, who were glad to be back near Broadway’s nighttime funk and fun. While festive, this year's event occurred in the wake of the new administration in Washington, D.C., and the healthcare themes surrounding the "repeal and replace" of the Affordable Care Act (ACA) cast a long shadow. In contrast to the upbeat, confident notes struck by last year’s keynote speaker Senator Tom Daschle, this year’s sobering keynote address by Howard Fineman, NBC/MSNBC political analyst, The Huffington Post Media Group global editorial director, and bestselling author, was an assessment of the pluses and minuses of our new president. Mr. Fineman's remarks indicated that the political alliances in power will seek to undo what Senator Daschle viewed as "irreversible” a year ago....
Read More

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