The Medicare Payment Advisory Commission’s (MedPAC) June Report to the Congress addresses (among other things) issues it sees with the Merit-based Incentive Payment System (MIPS) — one of two paths in the Centers for Medicare & Medicaid Services’ (CMS) Quality Payment Program, and a provision of the Medicare Access and CHIP Reauthorization Act (MACRA). “As ...
Physicians need wonder no more whether they’ll don the honor of Qualifying Participant (QP) in an Advanced Alternate Payment Model (APM), this year. The Centers for Medicare & Medicaid Services (CMS) announced over the weekend predictive QP status for 2017 Advanced APMs. CMS predicts nearly 100 percent of eligible clinicians in the following Advanced APMs will be ...
Apr 13th, 2017
Facilities participating in voluntary value-based programs have fewer readmissions than those not-involved, according to a study in AMA’s JAMA Internal Medicine.  The 10-year study, conducted by researchers from the University of Michigan, analyzed 30-day readmission rates for patients treated for heart disease and pneumonia in 2,800 hospitals. Study Results “Association Between Hospita...
In MACRA
Mar 22nd, 2017
Section 3021 of the Affordable Care Act gives the Center for Medicare and Medicaid Innovation (CMMI) the authority to test alternate payment models (APMs). The goals of these APMs are to reduce program expenditures while preserving or enhancing the quality of care for Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) beneficiaries. Pediatric Alternative Payment ...
In CMS
Feb 14th, 2017
Small practices and facilities stand to benefit from new payment models based on new quality measures for coronary and orthopedic care. In December, the Centers for Medicare & Medicaid Services (CMS) finalized new Innovation Center models shifting Medicare payments from rewarding quantity to rewarding quality by creating strong incentives for hospitals to deliver better care ...