Reducing the Administrative Burden on ACOs Accountable Care Organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP) will have new reporting requirements beginning in 2021. The new rule changes are designed to help reduce reporting burdens and improve patient outcomes. In fact, these changes impact both the kind of data reported to CMS, and the...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

Will Trending of Urgent Care Utilization as Primary Care Overthrow the Objectives of Value based care? With an increase in public demand, longer hour availability and walk-in appointments, the cost and time effective convenience of urgent care clinics is experiencing a rise in utilization. According to a 2017 Merritt Hawkins survey on physician appointment times,...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

MIPS: Why a “Skating By” Strategy will put Your Practice at Risk in 2021 and Beyond The stakes increased significantly in the MIPS program beginning in performance year 2019 and even more so into 2021. It has become 15x harder to avoid the penalty than in MIPS program year 1. Now, practices need to perform...Read More

Are administrative tasks holding you back? The importance of pay for performance programs may be overshadowed by well-intentioned efforts to move practices to a streamlined value-based care system while adhering to time constraints within a patient visit. How clinicians use their clinic time has implications regarding quality of care and is the basis of physician...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