Category: MIPS

New Changes Apply to CMS’ Merit-based Incentive Payment System (MIPS) in Response to COVID-19

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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HIE Population Health Toolbox

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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The Role of Health Information Exchange in Population Health: A Case Study on Supporting a Rural Critical Access Hospital around MIPS Initiative

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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8 Essentials to Perform Well Under MIPS

The Merit-based Incentive Payment System (MIPS) will have huge financial and reputational impact on clinicians and hospitals. As MIPS reporting approaches, you may be asking yourself, how do we better prepare, and how do we better perform? Further, as the incentive payment percentages and competition increase each subsequent year, these questions will be continuously re-evaluated.…
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Physician Reputation and the MIPS Composite Score

Providers, the reputational impact of MIPS is a bigger deal for you than the financial one. Your ability as a clinician is going to be distilled into a single number, 0 to 100, the Composite Performance Score (CPS). It will be your grade. A 100 CPS is like a 4.0 GPA.