ACOs know that the 2021 Proposed Rule has brought a number of changes to ACO participants, including the removal of the CMS Web Interface reporting option. While many ACOs are relieved this option remains in effect for 2021, few have understood the underlying realities of this change. In an effort to reduce burden by streamlining...Read More
Can Your ACO Survive A Post-COVID-19 State? Did Your Track 1 Medicare Shared Savings Program (MSSP) ACO Postpone Signing a New MSSP Contract Until 2021 with a January 2022 Start Date? If so, have you considered how the COVID-19 Public Health Emergency (PHE) will impact your future MSSP participation? Now is the time to start...Read More
Is Your Data Collection Method Harming Practitioner Efficiency? Data collection for quality measurement under value-based care (VBC) programs should not impair practitioner efficiency or patient care. The data needed to measure performance should be collected as a natural byproduct of care delivery and should be leveraged to support quality outcomes. While Health Information Technology (aka...Read More
2020 Pre-submission MIPS Point Round-up Before we close out the 2020 MIPS reporting year, it’s important to ensure you’re taking advantage of every opportunity for higher pay-for-performance incentives, especially when the COVID-19 pandemic has had such an impact on revenue. Here are 3 topics to review before 2020 MIPS reporting wraps up and data is...Read More
The Cost of Value-Based Healthcare Two primary objectives of Value-Based Care (VBC) are quality improvement and cost reduction. Quality improvement by way of standardized quality measurement is now a customary and integral function of most VBC programs. Alternatively, cost reduction has not, in most cases, experienced such a deliberate effect as that of its counterpart....Read More
Let’s examine why the 2019 adjustments are lower than expected The 2019 MIPS final feedback has been released and adjustments are lower than expected, even lower than expected with COVID-19 already factored into the anticipated results. MIPS eligible practices and clinicians were eagerly anticipating final adjustment rates up to an estimated 4.7%, based on information...Read More
A new policy was established in the 2019 Physician Fee Schedule (PFS) Final Rule that authorizes CMS to make changes to the MIPS Quality category scoring methodology for any measure(s) that may be significantly impacted by clinical guideline changes or other changes as CMS sees fit. The intent of this policy is to hold harmless...Read More
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