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By

Molly Minehan
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....
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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...
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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...
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Solutions | ReportingMD, solutions for patient outcomes management
Healthcare quality pay-for-performance (P4P) reporting isn’t easy. This truth has existed since the era of the Physician Quality Reporting System (PQRS), Meaningful Use and continues today in the ever-changing Merit-Based Incentive Payment System (MIPS) track, under the 2015 MACRA legislation’s Quality Payment Program (QPP). If programmatic conditions remained static over time, clinicians and practices could...
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If your practice is reporting quality measures using a specialty specific registry, you are not alone. Here are some factors to consider as we roll into the 2019 reporting year and beyond. Each year of the MIPS program, it becomes more important to earn a higher CPS score in order to keep pace with the...
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ReportingMD, solutions for patient outcomes management
Here’s what you need to know in order to survive an audit. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) replaced the Medicare Sustainable Growth Rate (SGR), which was how CMS previously controlled the cost of Medicare Payments to physicians. MACRA is aimed at strengthening Medicare access, improving physician payments, and encouraging better...
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Build a great reporting framework for your organization. The 2019 proposed and final rulemaking as well as the information available on the QPP portal have revealed a great deal about these topics… Read part three of our three-part series. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) replaced the Medicare Sustainable Growth Rate...
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How do you start to create a solid strategy? When thinking about a solid MIPS strategy we narrow in on five topics… Read part two of our three-part series. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) replaced the Medicare Sustainable Growth Rate (SGR), which was how CMS previously controlled the cost of...
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