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MIPS/MACRA

Karen DeSalvo Joins MedPAC as New Member

May 30, 2018  |  Rajiv Leventhal
news
Five new members have been added to the Medicare Payment Advisory Commission (MedPAC), including former National Coordinator for Health IT, Karen DeSalvo, M.D., the Government Accountability Office (GAO) announced.

A Cloudy HIT Policy Picture is Beginning to Clear Up

May 29, 2018  |  Rajiv Leventhal
article
At this time last year, healthcare stakeholders were filled with uncertainty, as the future of healthcare policy remained very much in limbo. But in the past several months, an air of stability has presented itself.

At the Philadelphia HIT Summit, One Healthcare Leader Parses the Current State of Payer-Provider Convergence

May 24, 2018  |  Heather Landi
article
As the healthcare industry makes steady progress to value-based care models, one healthcare thought leader sees the commercial payer market playing a larger role, going forward, in pushing provider organizations into value-based care arrangements.

GAO: Just 4 of 37 CMMI Payment Models Have Met Goals around Cost, Quality

May 11, 2018  |  Rajiv Leventhal
news
CMMI, created to test new and cost-effective approaches for delivering and paying for healthcare, has partially met its goals, while just four out of the innovation center’s 37 alternative payment models have actually achieved lower spending and higher quality.

EXCLUSIVE: Substantial ACO Reforms Could be Forthcoming

May 9, 2018  |  Rajiv Leventhal
article
Healthcare Informatics has learned that a CMS rule is forthcoming that could shorten the duration ACOs can stay in one-sided risk models.

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.

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...

Survey: Optimism for Health IT Startups in 2018, Skepticism for Amazon Healthcare Partnership

April 26, 2018  |  Heather Landi
news
Despite all the buzz about new entrants disrupting healthcare, the majority of healthcare stakeholders are dubious about the impact of the Amazon/Berkshire Hathaway/JP Morgan healthcare partnership and believe the effort will face substantial challenges,...

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 Response to Public Comments on CMMI, CMS will Consider Direct Provider Contracting Model

April 24, 2018  |  Rajiv Leventhal
article
CMS has released the comments submitted by healthcare stakeholders in response to the CMS Innovation Center’s new direction RFI, while also announcing that the agency is considering a direct provider contracting model as a result of the feedback.

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.

Survey: Measuring Care Quality a Top HIT Business Objective in 2018

April 16, 2018  |  Heather Landi
news
In a recent survey, health IT leaders identified measuring improvement in patient care quality as one of their top business objectives in 2018, followed by identifying areas of cost reduction.

PODCAST: Micky Tripathi on the Current Health IT Moment—and Exploring the World Ahead

March 20, 2018  |  Rajiv Leventhal
article
On this latest Healthcare Informatics podcast, notable health IT expert Micky Tripathi, Ph.D., talked about what he learned at HIMSS18, KLAS’ report on CommonWell and Carequality, Apple’s health records solution, and much more.

CMS’ Goodrich: More MACRA Relief On the Way

March 19, 2018  |  Rajiv Leventhal
news
CMS said last week that more changes will be coming this year to MACRA—including the alignment of quality measures between hospitals and hospital-employed physicians

Should MIPS be Repealed and Replaced? Several Industry Leaders Weigh in on MedPAC’s Published Proposal

March 19, 2018  |  Heather Landi
article
In its March report to Congress, MedPAC, a policy advisory group, recommends repealing MIPS and replacing it with an alternative model of reimbursement. Several industry thought leaders weigh in on the implications of this recommendation and the future of MIPS.

Michael McCoy, M.D. Shares His Perspectives on the Current Moment in Healthcare IT

March 13, 2018  |  Mark Hagland
article
Following the conclusion of the annual HIMSS Conference, Michael McCoy, M.D. shared with Healthcare Informatics his perspectives on the policy, industry, and technological cross-currents influencing the shift from volume to value in healthcare right now

CMS to Fund Outside Measure Developers for Quality Payment Program

March 7, 2018  |  David Raths
news
The Center for Medicare & Medicaid Services plans to offer up to $30 million in grant funding over three years for the development and expansion of quality measures for use in the Quality Payment Program.

PODCAST: AMA President Dr. David Barbe on the 2018 MACRA Final Rule and the Future of MIPS

March 2, 2018  |  Heather Landi
article
In this latest Healthcare Informatics podcast, David Barbe, M.D., American Medical Association president, discusses the 2018 MACRA final rule, how it differs from 2017 and why he has reservations about the MedPAC proposal to repeal and replace MIPS.

PODCAST: A HIMSS18 Preview with a Conference Veteran

February 27, 2018  |  Rajiv Leventhal and Mark Hagland
article
With the HIMSS18 conference coming up in just a few days in Las Vegas, we talk to Editor-in-Chief Mark Hagland, who has been attending the conference for nearly 30 years.

UnitedHealth Group to Offer Data Analytics Support for Bundled Payment Models

February 26, 2018  |  Rajiv Leventhal
news
UnitedHealth Group said last week that it will offer data and analytics, technology and care coordination to support bundled payment models, including CMS' Bundled Payments for Care Improvement Advanced (BPCI Advanced) program.

CMS Invites Clinicians to Participate in Study on Burdens of MIPS Reporting

February 26, 2018  |  Heather Landi
news
CMS plans to study the hardships associated with reporting quality measures under the Merit-Based Incentive Payment System (MIPS) and is inviting clinicians to apply to participate in the research.

Clinicians to CMS, ONC: “Right the Ship” to Simplify Reporting, Ease Regulatory Burdens

February 23, 2018  |  Heather Landi
article
During a daylong listening session sponsored by ONC and CMS on the issue of reducing clinician burden, healthcare industry stakeholders shared a litany of frustrations and complaints about EHRs contributing to administrative burden and physician burnout.

PODCAST: Consultant Rita Numerof Affirms Position that “MIPS Isn’t the Solution”

February 21, 2018  |  Rajiv Leventhal
article
Rita Numerof, Ph.D., recently was a guest on the Healthcare Informatics podcast, where she reiterated her concerns with MACRA/MIPS, noting that there are “fundamental issues in the design and the philosophy behind the program.”

NCQA Approved by Government as ONC-Authorized Testing Lab

February 20, 2018  |  Rajiv Leventhal
news
The National Committee for Quality Assurance (NCQA) has announced that its eMeasure testing laboratory is now approved by the Office of the National Coordinator for Health Information Technology (ONC).

Financial Exec Survey: Interoperability Key Obstacle to Value-Based Payment Models

February 15, 2018  |  Heather Landi
news
Momentum continues to grow for value-based care as nearly three-quarters of healthcare executives report their organizations have achieved positive financial results from value-based payment programs, to date, according to a new study from the Healthcare...

CMS Actuaries: Economic, Demographic Factors Driving Healthcare Spending Growth

February 14, 2018  |  Heather Landi
news
New estimates released Wednesday from CMS’s Office of the Actuary project an average annual rate of national health spending growth of 5.5 percent for 2017–2026, outpacing average projected growth in GDP by 1.0 percentage point. As a result, the health share of...

Overnight Congressional Bill Proposes Slowing Down MIPS

February 9, 2018  |  Rajiv Leventhal
article
A Congressional bill passed in the early morning hours on Feb. 9 brought an end to an overnight government shutdown, while also including provisions that give CMS the option to slow down certain aspects of MIPS.

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