Tag: Quality measures

A Step-By-Step Checklist to Succeed with CMS’ APM Performance Pathway (APP)

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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CMS’ New APM Performance Pathway (APP): What It Is & Why It Matters

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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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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Benefits of Health Information Exchanges for Quality Reporting and Value-Based Care

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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Data Quality in an Abundance of Electronic Health Information for Electronic Clinical Quality Measures (eCQMs)

The quality of data is foundational for creating data-driven health care systems, so what is the current landscape for assessing and maximizing the quality of electronic health data for measuring performance? While electronic data poses a great opportunity – an emphasis should be placed on the quality and completeness of that data to use for…
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