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Quality Reporting Measures

A Pioneering M.D. Leader Shares Insights on Successfully Navigating the Massachusetts Healthcare Market

August 9, 2018  |  Rajiv Leventhal
article
At the Boston Health IT Summit, the veteran healthcare expert dropped in to give attendees an inside look at how her organization has achieved value-based care success

At the Health IT Summit in Boston, One ACO’s Data-Facilitated Journey Into Value

August 7, 2018  |  Mark Hagland
article
What does it mean for an organization to pursue a data-facilitated journey into value-based care? Bill Gillis, CIO of the Beth Israel Deaconess Care Organization, shared his learnings and perspectives on that subject, at the Health IT Summit in Boston

Pondering the Psychology of Incentives in Bundled-Payment Contracts

July 27, 2018  |  Mark Hagland
commentary
Healthcare policy researchers, in an op-ed piece in the Health Affairs Blog, ponder the differences between prospectively and retrospectively based bundled payment incentives to providers—at a moment of early experimentation

Could Last Week’s Proposed-Rule Release Represent an Inflection Point for CMS and for Value-Based Federal Payment?

July 18, 2018  |  Mark Hagland
commentary
CMS’s release of a proposed rule that will impact a range of issues, from physician payment to quality measures, has unleashed a range of reactions from industry leaders—could this prove to be an inflection point?

Healthcare Leaders React to CMS’ 2019 QPP Proposed Rule and E&M Coding Changes

July 18, 2018  |  Heather Landi
article
Some health IT industry groups have voiced concerns that the CMS proposals, specifically in its proposed rule for the third year of the Quality Payment Program, will undermine efforts to move Medicare provider payment to value.

Value-Based Care Shift Has Halted, Study Finds

July 17, 2018  |  Rajiv Leventhal
news
A new study of 451 physicians and health plan executives suggests that progress toward value-based care has stalled. In fact, it may have even taken a step backward over the past year, the research revealed.

Aligning Incentives in the Forward Evolution Around Value-Based Payment: Major Obstacles Cited

July 16, 2018  |  Mark Hagland
commentary
The implications of a recent HFMA-sponsored analysis of value-based healthcare are many—and challenging, for the pioneers of VBP in new payment models in U.S. healthcare

BREAKING: CMS Proposes Dramatic Changes with Aim to “Modernize Medicare and Restore Doctor-Patient Relationships”

July 12, 2018  |  Rajiv Leventhal
article
CMS today proposed changes that the agency believes will “fundamentally improve the nation’s healthcare system and help restore the doctor-patient relationship by empowering clinicians to use their EHRs to document clinically meaningful information.”

The Rocky Path to Value for Medicaid Programs—and HIT’s Key Role in Making It All Work

July 11, 2018  |  Mark Hagland
commentary
Medical researchers share some insights on the broad range of challenges facing the pioneers attempting to move Medicaid towards value-based payment incentives, including around the key role that HIT and data analytics will play in success

NCQA Updates HEDIS Quality Measures, New Measure Addresses Opioid Use

July 3, 2018  |  Heather Landi
news
The National Committee for Quality Assurance (NCQA) released new technical specifications for the Healthcare Effectiveness Data and Information Set (HEDIS), for 2019, including four new measures.

Can We Get to the Next Level When It Comes to Quality Measures for the Care of Patients with Complex Needs?

June 27, 2018  |  Mark Hagland
commentary
A commentary posted online on Tuesday on the Health Affairs website makes important points about the landscape around the measurement of quality in the context of care for patients with complex needs

Analysis: Early Years of VBP Models Show Limited Impact on Reducing Cost of Care

June 25, 2018  |  Heather Landi
news
The penetration of population-based value-based payment models is not yet having an impact on curbing growth in total cost of care, according to a new analysis by the Healthcare Financial Management Association (HFMA), Leavitt Partners and McManis Consulting.

At Franciscan Health, an Analytics-Driven Initiative is Improving Patient Care and Reducing Costs

June 11, 2018  |  Heather Landi
article
Franciscan Health is leveraging data and analytics t o help its lower-performing physicians bring their practice in-line with their best-performing colleagues, with the goal of not only improving patient care but also reducing overall costs.

CMS Hits MIPS Participation Goal for Year One

June 4, 2018  |  Rajiv Leventhal
news
According to CMS Administrator Seema Verma, 91 percent of all Merit-based Incentive Payment System (MIPS)-eligible clinicians participated in the first year of the Quality Payment Program (QPP), exceeding the agency’s internal goal.

Rethinking Observation Stays and Readmissions: Experts Study the Issue

May 31, 2018  |  Mark Hagland
commentary
As medical researchers writing in The New England Journal of Medicine are documenting, shifting some patients from normal inpatient stays to observation stays, is turning out to be a far more complicated proposition than meets the eye

In the New Healthcare, Payers and Providers Look to Redefine Quality

May 30, 2018  |  Rajiv Leventhal
article
The pressure is mounting on providers to deliver better outcomes. But moving forward, federal leaders must strike a balance between being able to measure outcomes while not overburdening patient caregivers even more.

Dr. Glenn Steele on the Path Forward Towards Care Delivery Transformation

May 20, 2018  |  Mark Hagland
article
Healthcare Informatics caught up recently with Glenn D. Steele, Jr., M.D., Ph.D., who has been busy spreading the gospel of the Geisinger approach to healthcare delivery innovation, U.S. healthcare system-wide

At Phoenix Children’s, A Clinical Documentation Initiative is Driving Results

May 16, 2018  |  Heather Landi
article
At Phoenix Children’s Hospital, clinical and IT leaders worked closely on an initiative to leverage technology to improve clinical documentation, providing physicians with actionable information in real-time at the point of care.

South Jersey Health Systems Unite on Behavioral Health Dashboard

May 9, 2018  |  David Raths
article
With the help of the Camden Coalition, the South Jersey Behavioral Health Innovation Collaborative created a dashboard of agreed-upon metrics to help improve access, quality and care coordination.

At the HLTH Conference, Former CMMI Director Patrick Conway Looks Back, and Forward

May 8, 2018  |  Mark Hagland
article
Patrick Conway, M.D., CEO of Blue Cross and Blue Shield of North Carolina, was interviewed as part of a general session at the HLTH Conference—looking back on his tenure as CMMI Director, and forward into the future

HHS Secretary Alex Azar Gives Industry Leaders a Map of the New Healthcare

May 4, 2018  |  Mark Hagland
commentary
On Wednesday at the World Health Care Congress in Washington, D.C., HHS Secretary Alex Azar offered attendees a conceptual map of the new healthcare, at least from the standpoint of federal healthcare policy

At the World Health Care Congress, HHS Secretary Alex Azar Maps Out His Agency’s Top Priorities for Industry Leaders

May 2, 2018  |  Mark Hagland
article
On Wednesday at the World Health Care Congress, HHS Secretary Alex Azar mapped out for attendees his strategic vision of where the U.S. healthcare system needs to go, and the role he sees for his agency in its transformation

An HIT Expert Dives into the Details of CMS’ Proposed Hospital Payment Rule

April 30, 2018  |  Heather Landi
article
With ongoing discussion about the implications of CMS' proposed hospital payment rule, Jeff Smith, vice president of public policy at AMIA, dives into the details of the rule, including how CMS might be raising the interoperability stakes.

The CEO of The Leapfrog Group Speaks about Value, as the World Health Care Congress Gets Underway

April 29, 2018  |  Mark Hagland
article
As the 15th Annual World Health Care Congress got underway in Washington, D.C. on Sunday evening, the Leapfrog Group’s CEO Leah Binder discussed the current status of the concept of value in healthcare—after receiving a Health Value Award

Study: System Functionality, Cost and Reporting Requirements Top Reasons for Switching EHRs

April 27, 2018  |  Heather Landi
news
System functionality and cost are the two largest deciding factors in healthcare providers’ decision to switch electronic health record (EHR) vendors, despite the significant cost associated with a new EHR purchase and implementation, according to a study...

In Proposed MU Rebranding Rule, CMS Raises the Interoperability Stakes

April 26, 2018  |  Rajiv Leventhal and Heather Landi
article
As health IT observers and stakeholders have begun to unpack the 1,883-page CMS proposed rule on meaningful use rebranding, discussion has emerged on if the government will be forcing providers to participate in health information exchange activities.

BREAKING: CMS to Rebrand Meaningful Use Program with New Emphasis on Interoperability, Burden Reduction

April 24, 2018  |  Rajiv Leventhal
article
In a rule released late in the afternoon on April 24, the Centers for Medicare & Medicaid Services (CMS) has made clear its intention to overhaul the meaningful use program.

In Asking for MIPS Flexibilities, Providers Make Legitimate Points

April 23, 2018  |  Rajiv Leventhal
commentary
I was quite intrigued to see the specifics in the recent letter that healthcare provider groups sent CMS about reducing the burden that MIPS requirements have put on clinicians.

Health IT Trade Groups Push CMS for MIPS 90-Day Reporting Period

April 20, 2018  |  Rajiv Leventhal
news
MGMA, AMA and 47 other physician organizations have sent a letter to CMS, calling for the federal agency to reduce the burden of the Merit-based Incentive Payment System (MIPS) by shortening the quality data reporting period from 365 to 90 days.

PODCAST: AMIA’s Jeff Smith on MACRA/MIPS in this Current Moment and What’s Next in HIT Policy

April 19, 2018  |  Rajiv Leventhal
article
On the latest Healthcare Informatics podcast, AMIA’s Jeff Smith gives his thoughts on where things stand with MACRA/MIPS right now, the future of MU, 21st Century Cures tidbits and more.

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