The 2018 QPP Final Rule – Insights into the Future

November 13th, 2017 By
On November 2nd, CMS released the much anticipated 2018 Quality Payment Program (QPP) final rule. While most of what was in the proposed rule ultimately made it into the final rule there was one surprise along with many indicators of what to expect as the QPP continues to mature over the next...
Read More

The Risk of EHR Reliance for QPP Performance

November 2nd, 2017 By
Relying on the EHR to manage performance in MIPS and Alternative Payment Models (APMs) in the QPP is like relying on an emergency medical technician (EMT) to conduct major surgery. While both the EHR and EMT deliver essential life-saving functions in their own regard, neither are specifically...
Read More

3 Takeaways from the MACRA MIPS/APM Summit

October 20th, 2017 By
The Second National MACRA MIPS/APM Summit was held in Washington, DC last week and included an impressive list of speakers representing CMS, providers, payers, medical organizations, advocacy groups, and vendors. Most sessions were panel discussions that included a mix of stakeholders that lead to...
Read More

Finding the Legos in Your Value-based Care Programs

October 5th, 2017 By
Like many kids (and some adults), my kids loved to play with Legos.  So, when a customer began talking about quality measures from different payment programs as “Lego pieces,” the wheels started turning: Legos are the perfect metaphor for both the varied components of these commercial and...
Read More

Understanding Group and Individual Reporting for MIPS

September 7th, 2017 By
There are less than four months remaining in the first MIPS performance year and having a plan to monitor and drive improvement in targeted areas is critical to maximize your score and reimbursement adjustment both in 2017 and in future performance years. MIPS was designed by CMS to provide...
Read More

Why CXOs need to Pay Attention to the Quality Payment Program (QPP)

August 3rd, 2017 By
The Quality Payment Program impacts all departments of an ambulatory organization, from finance to operations. In the past, the CIO and the IT department were the main departments accountable for success in the Meaningful Use program, with limited collaboration across the C-suite in some cases....
Read More

Part 2: Why CXOs need to Pay Attention to the Quality Payment Program (QPP)

August 17th, 2017 By
The stakes of the Quality Payment Program increase every year making the QPP a critical component of an organization’s short and long term strategies. To reduce risk and maximize results it is necessary for the C-suite to be involved in the development and execution of the QPP strategy. In Part...
Read More

Top 3 Decisions to Optimize Your MIPS Quality Score

July 6th, 2017 By
The Quality category of MIPS typically comprises 60% of a clinician’s or organization’s MIPS score. Factors such as the quality reporting method and measures you select have great bearing on the MIPS Quality score, level of clinician engagement, and administrative costs. We summarize here some...
Read More