November 2, 2017 | Suresh Yarlagadda, Medical Director, Clinical Strategy, Change Healthcare
Unnecessary care is unnecessarily in the news these days. We say “unnecessarily” because such care—as well as the associated costs it incurs and risks it poses for patients—can be mitigated.
Kaiser Health News just published a report, “So Much Care It Hurts...
CMS has announced electronic clinical quality measures (eCQMs) in CMS quality programs will be transitioned to use the Clinical Quality Language (CQL) standard (CQL Release 1, Standard for Trial Use (STU) 2) for logic expression.
With the MACRA 2018 Quality Payment Program final rule due any day now, CHIME’s vice president of federal affairs, Mari Savickis, expects stakeholders to be mostly pleased with the government’s final rulemaking.
The Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma announced the agency’s efforts to streamline quality measures and reduce regulatory burden with a new approach to quality measurement called “Meaningful Measures.”
The Alliance of Specialty Medicine has said it opposes the Medicare Payment Advisory Commission’s (MedPAC’s) recent suggestion to repeal MIPS (the Merit-based Incentive Payment System) in its current form.
Hospital CEOs say the transition to value-based care is happening at a slower rate than expected, but health system CEOs continue to prepare for that transition, according to the Deloitte Center for Health Solution’s 2017 Survey of U.S. Health System CEOs.
To address gaps in its adult vaccination rates, The Iowa Clinic initiated an analytics-driven collaborative project to increase immunization rates, with a specific focus on pneumococcal pneumonia and influenza immunizations.
Several prominent healthcare associations and medical societies have written a letter to leading members of the Committee on Energy and Commerce, proposing to continue current MACRA flexibilities for an additional three years.
An analysis by the National Association of Accountable Care Organizations revealed that 2017 Track 1 ACOs are likely to score well above the MIPS performance threshold, and most above the MIPS exceptional performance threshold.
As the industry awaits MACRA’s QPP final rule for 2018, the Medicare Payment Advisory Commission (MedPAC) said during a meeting last week that MIPS, one of the program’s payment tracks, should be scrapped.
October 6, 2017 | David V. Gallegos, SVP, Consulting Services, Change Healthcare Consulting
Reducing costs and improving quality are the two prevailing objectives behind most healthcare initiatives. However, one leg of the proverbial stool that doesn’t get much attention are the efforts to improve the patient experience. Healthcare in the United...
The Centers for Medicare & Medicaid Services (CMS) developed an online interactive tool where many 2017 Advanced alternative payment model (APM) participants can look up their Qualifying APM Participant (QP) status.
Hospitals’ progress toward interoperability is slow and that progress has mainly been focused on moving information between hospitals, such as sending and receiving data, and not on ensuring the usability of information in clinical decisions, according to...
Priorities are shifting these days as healthcare CFOs are under immense pressure to optimize revenue cycle performance. Healthcare finance thought leaders share their perspectives on developing a robust RCM strategy in an evolving payment landscape.
The leaders of medical groups, hospitals and health systems are finding willing partners—and tons of practical challenges—as they move forward with the federal government and with private health insurers into the new world of value-based healthcare.
In this 15-minute podcast, consultant Michael Abrams discusses what he’s seeing and hearing as it relates to clinician readiness for MACRA, and what advice he’s offering clients who are still feeling uneasy about the QPP.
The current president of the American Medical Association, David Barbe, M.D., discusses the challenges and opportunities around physician outcomes reporting under MACRA/MIPS—and what healthcare IT leaders can do to collaborate with physician leaders
September 15, 2017 | Bill Sillar, National Director of Clinical Call Services, Change Healthcare
Quality of care through optimized performance is today’s mantra in healthcare. It underpins our industry’s pursuit of the Triple Aim: to improve the experience of care, improve the health of populations and reduce per capita costs of healthcare.1 Achieving...
One hundred percent of specialty physicians indicated that they have not yet fully grasped MACRA’s impact on their practices, according to a recent survey from West Palm Beach, Fla.-based vendor Integra Connect.