Tag: Quality measures

After working with hundreds of health care organizations over the last few years, I’ve found that almost all the organizations I’ve worked with have a difficult time integrating quality measures beyond what is required as part of their financial contracts. For example… One primary care clinic thought they were doing well with monitoring depression because…
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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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To perform well in value-based care, healthcare providers must report improvements in quality, cost and utilization measures that align with their payers’ expectations. When it comes to providing data, analytics and technological capabilities for reporting these measures, health information exchanges (HIEs) offer several advantages over other data aggregators: Greater Efficiency HIEs provide clinical data, which…
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