Podcast: Dr. Sanders Sees Significant Cost Reductions after Implementing AI

April 18th, 2019 By
In this episode of Voices in Value-Based Care, Beth Houck talks to Dr. Michael Sanders of Flagler Hospital in St. Augustine, FL. With very few resources, Dr. Sanders was able to deploy artificial intelligence that ultimately delivered huge cost savings and a significant reduction in length of stay...
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MIPS Cost Category 2019: What Do We Know?

April 9th, 2019 By
I often get asked what the biggest concerns are for organizations participating in MIPS. For the 2019 performance year, one of the biggest concerns is the unknowns with the Cost category. Because there are so many unknowns with this category, I’ll try to focus on what we do know. The Cost...
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Protect MIPS Scores and Secure Maximum Financial Opportunity

February 21st, 2019 By
Every Medicare Part B service you perform from now on is impacted by MIPS. Yes, the MIPS scores you earned in 2017 are now impacting your payment adjustments for 2019 services – whether as a meager incentive or a penalty depending on how your clinicians performed in 2017. The stakes are higher...
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What You Need to Know About 2019 MIPS Quality Benchmarks

January 30th, 2019 By
Some said it wouldn’t happen, but here we are. We are officially into the third year of MIPS and CMS continues to drive towards the full implementation of the program Congress envisioned when they passed MACRA in 2015. There is a lot of talk, and rightfully so, about the Promoting...
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Podcast: Alternative Payment Models – Perspectives from a new RAND Corporation Report

January 16th, 2019 By
Stay on the path toward simplicity to get wide-spread participation in value-based payment models -- That is key advice revealed in this 28-minute podcast where Dr. Mark Friedberg, Senior Physician Policy Research, RAND Corporation discusses the effects of alternative payment models on physician...
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Dissecting The 2019 MIPS Promoting Interoperability Category

December 19th, 2018 By
In case you haven’t read through the 2019 Final Rule, you need to know that the Promoting Interoperability (PI) category has changed quite a bit from the first two years of the MIPS program. Though the category weight remains at 25% (25 of 100 MIPS points), healthcare providers will find it...
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Expert Perspectives on 2019 MIPS

December 12th, 2018 By
In its third performance year MIPS is beginning to come of age with CMS actively expanding the boundaries and strengthening the requirements to usher the program to maturity. CMS issued the 2019 QPP final rule on November 1, 2018 which illustrates the progression of MIPS towards a mature program...
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Multi-Specialty Groups Can Hit MIPS Out of the Park

October 4th, 2018 By
For multi-specialty groups, MIPS can be a burden. It can be confusing, time consuming and downright painful to manage. As the healthcare industry evolves, government and commercial payment programs are moving toward value-based care. At the same time, consumers (74 million aging baby boomers, and...
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