Category: MIPS

The Centers for Medicaid and Medicare Services (CMS) programs are changing, in many ways for the better. If you are a Medicare Shared Savings Program Accountable Care Organizations (MSSP ACOs) or a Merit-based Incentive Payment System (MIPS) eligible clinician that participates in a MIPS APMs, you have likely heard of the changes as part of…
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The Centers for Medicaid and Medicare Services (CMS) has created a new reporting pathway in an effort to encourage the transition to alternative payment models by tying financial incentives to broader value-based care goals. The Alternative Payment Model (APM) Performance Pathway (APP) is a new reporting and scoring option for Medicare Shared Savings Program Accountable…
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Since the COVID-19 pandemic hit last year, we have been keeping our pulse on changes and updates to value-based program requirements. Here are three of the recent policy updates that apply to providers and groups participating in Centers for Medicare and Medicaid Services (CMS) Merit-based Incentive Payment System (MIPS). #1 Cost Reweighting The most significant…
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In this series called “HIE Population Health Toolbox” we aim to address all of the ways HIEs are uniquely positioned to provide comprehensive clinical information and analytics to support practices in meeting multiple quality measures and initiatives to improve outcomes. Below you will find more in depth information as to why HIEs are the solution.…
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Healthcare is undergoing a paradigm shift – a transition from volume (fee for service) to value-based care (pay for value). Providers are participating in several different programs like bundled payments, shared risk, capitation and quality incentive programs. According to a recent article, healthcare payments tied to value-based care reached 34 percent in 2017 and this…
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