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MIPS/MACRA

Patient Access and Analytics: Perfect Together

February 7, 2018  |  Jason Williams, Vice President, Business Strategy & Analytics, Change Healthcare
article
Applying analytics to patient access can radically improve a health system’s ability to understand what’s influencing financial performance, and improve the metrics that matter.

Study: Payers, Providers, Patients Differ on Consumer Engagement Investments, Effectiveness

January 29, 2018  |  Change Healthcare
article
Value-based care is driving investments in consumer engagement strategies and technologies, but consumers are not seeing the difference.

Associations Express Concerns to CMS over BPCI Advanced Model

January 26, 2018  |  Rajiv Leventhal
news
Leading healthcare associations are asking CMS to provide more information around the recently-announced voluntary Bundled Payment for Care Improvement-Advanced (BPCIA) model while also outlining concerns they have with its implementation.

In Illinois, an MSSP ACO Proves its Worth Once Again

January 16, 2018  |  Rajiv Leventhal
article
Healthcare Informatics recently caught up with Lee B. Sacks, M.D., chief medical officer of Advocate Health Care, to talk about the ACO’s impressive 2016 results, reasons for its successful performance, challenges faced, and next steps.

MedPAC Votes 14-2 to Scrap MIPS, Recommends Alternative Program

January 12, 2018  |  Heather Landi
news
The Medicare Payment Advisory Commission (MedPAC), a nonpartisan legislative branch agency that provides the U.S. Congress with analysis and policy advice on the Medicare program, voted 14-2 on Thursday in favor of scrapping the Merit-based Incentive Payment...

MGMA Calls for CMS to Release 2018 MIPS Eligibility Notices

January 11, 2018  |  Heather Landi
news
In a letter to CMS Administrator Seema Verma, the Medical Group Management Association is calling for the agency to immediately release 2018 MIPS eligibility information, including exemptions under the low-volume threshold and special status as non-patient-facing...

CMS Announces New Voluntary Bundled Payment Model that Qualifies as Advanced APM

January 10, 2018  |  Rajiv Leventhal
article
The Centers for Medicare & Medicaid Services (CMS) yesterday announced the launch of a new voluntary bundled payment model called Bundled Payments for Care Improvement Advanced (BPCI Advanced).

Healthcare Informatics Podcast: John Halamka on Precision Medicine and the Wide-Ranging Future of Health IT

January 9, 2018  |  Rajiv Leventhal
article
In the most recent Healthcare Informatics podcast, Managing Editor Rajiv Leventhal and Dr. John Halamka discuss the CIO’s latest takeaways on MACRA, and also touch on other key health IT topics such as the next frontier in innovation and precision medicine.

CMS Launches Data Submission System for Quality Payment Program

January 3, 2018  |  Rajiv Leventhal
news
CMS has announced that doctors and other eligible clinicians participating in MACRA’s Quality Payment Program can begin submitting their 2017 performance data using a new system on the program’s website.

How One Family Practice is Effectively Navigating MU/MIPS

December 21, 2017  |  Rajiv Leventhal
article
Switching IT platforms three years ago has been a welcome relief for one practice in Florida, which went from failing to attest to MU Stage 1 to this year hoping to report a full year of MIPS data

Healthcare Informatics’ Top 10 Stories of 2017

December 20, 2017  |  Rajiv Leventhal
article
It was another exciting year in health IT. Which stories did you, our readers, like the most?

HHS OIG Report Cites Concerns with MACRA Implementation

December 18, 2017  |  Heather Landi
news
The U.S. Department of Health and Human Services (HHS) Office of the Inspector General issued a report of its review of the Centers for Medicare & Medicaid Services’ (CMS) management of the Quality Payment Program and cited specific concerns regarding the...

A Framework for the Future: 3 Steps to Building an Enterprise Architecture

December 18, 2017  |  Bob Hoover, VP of Consulting Services at Change Healthcare
article
Successfully delivering value from healthcare IT investments is difficult. That’s a refrain I’ve heard again and again from healthcare leaders, whether in the boardroom, the executive suite, or the data center.

Could Providers’ Early Lack of Interest in the Value Modifier Program Set a Precedent for MIPS?

December 11, 2017  |  Rajiv Leventhal
commentary
New research in Health Affairs speculates that performance in the Physician Value-Based Payment Modifier program may shed some light on how clinicians will treat MIPS.

Ten Steps to Reduce Denials, Win More Appeals, and Improve Hospital Performance

December 8, 2017  |  Carol Everhart, RN, MS, IQCI, Senior Clinical Consultant, Decision Support Change Healthcare
article
Hospitals everywhere are striving to answer this question: How can we better manage denials? Denials related to medical necessity account for about 5% of denials nationally. But by closing common gaps that lead to medical necessity denials, your...

EHRA Calls for CMMI to Align New Payment Model Tech Requirements with CEHRT Mandates

December 6, 2017  |  Rajiv Leventhal
news
The Electronic Health Record Association (EHRA) has offered some suggestions on what the new path forward of the Centers for Medicare & Medicaid Services (CMS)’ Innovation Center should look like.

AMGA, Optum Form MIPS Collaborative to Share Best Practices

November 30, 2017  |  Heather Landi
news
The American Medical Group Association and Optum, the health services business of UnitedHealth Group, have formed a collaborative focused on helping healthcare provider organizations successfully implement Medicare’s new physician payment scheme, the Merit-based...

BREAKING: CMS Officially Cancels Mandatory Hip Fracture, Cardiac Bundled Payment Models

November 30, 2017  |  Rajiv Leventhal
article
The Centers for Medicare and Medicaid (CMS) has finalized a rule that will cancel mandatory hip fracture and cardiac bundled payment models.

Texas Health Resources’ Dr. Saldaña: "We Have to Work Collaboratively to Reduce Barriers to Information Flows"

November 29, 2017  |  Rajiv Leventhal
article
Luis Saldaña, M.D., CMIO at THR, discusses how the Dallas-Fort Worth region is progressing in its value-based care initiatives, in its ongoing HIE evolution, and how organizations such as THR are working to reduce physician burnout.

Healthcare Industry Leaders Submit Comments on Future of CMMI

November 21, 2017  |  Heather Landi
news
Responses to the CMS' request for information on the Innovation Center New Direction were due Monday, and several health IT and healthcare industry organizations submitted feedback on the future of CMMI.

Survey Gauges Health System Preparedness for Quality Payment Program

November 17, 2017  |  Heather Landi
news
A new survey indicates that most healthcare organizations are relying on EHRs and population health management solutions for quality performance management. However, survey respondents also report low satisfaction with these solutions, which puts organizations at...

Research Finds States Remain Committed to Value-Based Payment Models

November 16, 2017  |  Carolyn Wukitch, Senior Vice President & General Manager, Network & Financial Management, Change Healthcare
article
Alternative payment programs are now firmly rooted in state-level healthcare policy, as discussions regarding health reform continue in Washington. That’s according to a new national study commissioned by Change Healthcare which finds over 40 states pursuing...

Premier Submits Comments on Future of CMMI

November 15, 2017  |  Rajiv Leventhal
news
In its comments to CMS, Premier officials highlighted how critical it is for CMMI to continue to serve as a leader in testing value-based care models, incorporating the successes of past models into new models.

Lessons Learned from the Trenches of Healthcare Policy

November 15, 2017  |  Rajiv Leventhal
article
A former OMB director discusses federal rulemaking, the future of CMS’ Innovation Center, and if the push toward value-based care has been slowed at all in recent months.

Over 40 U.S. States Pursuing Value-Based Payment Programs, Report Finds

November 14, 2017  |  Rajiv Leventhal
news
Alternative payment programs are becoming entrenched in state-level healthcare policy, according to a new study from Change Healthcare, which found that at least 40 states are pursuing value-based payment programs, with 15 multi-payer initiatives across those...

A Rural Healthcare CIO Speaks Out on East Texas’ Barriers to Value-Based Care

November 10, 2017  |  Rajiv Leventhal
article
ETMC Regional Healthcare System’s CIO spoke to Healthcare Informatics about the organization’s biggest challenges right now as it relates to healthcare IT and value-based care, as well as other trends and innovation going on in the region.

Quantifying (and Alleviating) the Quality Measurement Burden

November 9, 2017  |  David Raths
commentary
Can EHRs be designed to more easily collect and report metrics? What other steps can help keep externally reported measures to a manageable level?

MACRA Rule Reaction: CMS Gets Serious in 2018

November 7, 2017  |  Rajiv Leventhal
article
Despite the fact that many Medicare clinicians will be exempt from MIPS in 2018, for those that are participating, the stakes have been raised

Healthcare Industry Leaders React to Quality Payment Program Final Rule for 2018

November 3, 2017  |  Heather Landi
article
The day after CMS released the final rule making changes in the second year of the Quality Payment Program under the MACRA law, healthcare industry leaders are voicing mixed reactions, but do seem satisfied with some of the increased flexibilities.

A Candid Conversation with CHIME’s Russ Branzell

November 2, 2017  |  Rajiv Leventhal
article
In San Antonio, Texas, Russ Branzell spoke with Healthcare Informatics Managing Editor Rajiv Leventhal about the pressures CIOs are facing, where CHIME stands on certain policy issues, and more

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