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Better Patient Care At High-Quality Hospitals Print E-mail
Written by FHI's Week in Review   
Tuesday, 13 September 2016 15:26

In a study published 9.7.16 in Health Affairs by Thomas C. Tsai, Felix Greaves, Jie Zheng, E. John Orav, Michael J. Zinner and Ashish K. Jha, researchers found:

Patients who had major surgery at high-quality hospitals in the U.S. cost Medicare less than those who had surgery at low-quality hospitals. The difference in Medicare spending was driven primarily by the cost of care in the weeks following surgery.

Read more in the current issue of Week in Review>>

Last Updated on Tuesday, 13 September 2016 15:34
 
MACRA/MIPS Performance Categories, Part 4: Resource Use/Cost Print E-mail
Written by HealthFusion   
Thursday, 01 September 2016 00:00

Resource Use (Cost) is essentially replacing the Value-Based Modifier and only counts for 10 percent of your overall MIPS score in year one, but don't let that small number fool you. CMS is proposing that the Cost/Resource Use category account for 15 percent in 2020 and 30 percent of your total MIPS score in 2021 and beyond. The good thing about this performance category is that it requires no reporting from you. CMS gathers the data from Medicare claims, so there's no administrative burden on your practice, and they calculate measures based on the claims and availability of sufficient volume. The Resource Use performance category generally requires a 20-patient sample and is calculated based on the average score of all attributed cost measures.
 
This category is arguably one of the most complicated pieces in the MIPS puzzle and may be the most difficult to impact, in terms of improving your score. To ensure your practice's success, focus on the performance categories you can impact, like Advancing Care Information (rough translation: Meaningful Use), Quality and Clinical Practice Improvement Activities (new), and invest in software that will gauge your performance in all four MIPS categories at all times, so that you're constantly aware of how you're doing.

Last Updated on Friday, 02 September 2016 18:01
 
MIPS Performance Categories, Part 3: Clinical Practice Improvement Activities Print E-mail
Written by HealthFusion   
Wednesday, 24 August 2016 00:00

The Clinical Practice Improvement Activities piece of the MIPS puzzle is a new performance category for CMS, and it's weighted 15 percent of the MIPS total score. Clinicians choose from approximately 90 activities that have been designed with the intention of measuring capabilities in areas like care coordination, beneficiary engagement and patient safety.
 
60 points = 100 percent credit
 
Clinicians who are part of a PCMH will automatically receive 100 percent credit for this performance category, APM participants (who do not qualify as an Advanced APM QP) automatically receive 50 percent credit for this category. For providers in groups of fewer than 15, CMS proposes to require them to complete any two CPIAs for full credit in the category. Read more about becoming a PCMH.

Read More>>
 
MIPS Performance Categories, Part 2: Advancing Care Information (AKA What Meaningful Use Will Become) Print E-mail
Written by HealthFusion   
Wednesday, 17 August 2016 00:00

As part of our MACRA blog series, we're breaking down each of the four performance categories under the Merit-based Incentive Payment System (MIPS). Our most recent blog in the series covered the Quality performance category, which counts for 50 percent of an eligible clinician's composite performance score (CPS). In this blog, we'll review Advancing Care Information, the second most heavily weighted performance category under MIPS - and the category that will absorb Meaningful Use. Beginning in 2017, eligible clinicians who currently participate in Meaningful Use will stop doing so and the majority will instead report through MIPS. The first performance period for Advancing Care Information is proposed to be from January 1, 2017 through December 31, 2017.

Remember that MACRA is performance based and that your score will be compared to that of your peers. Those with poor performance will receive less compensation - making MACRA a competition of sorts.

In order to get the full 25 percent of the MIPS score allocated to Advancing Care Information, you must gain a total of 100 points out of the following...

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MIPS Performance Categories, Part 1: QUALITY Print E-mail
Written by HealthFusion   
Tuesday, 02 August 2016 00:00

As we mentioned in our recent MACRA related blog posts, the new Merit-based Incentive Payment Program (MIPS) will streamline the current patchwork of reporting programs into four performance categories (all under MIPS): Quality, Advancing Care Information, Clinical Practice Improvement Activities and Cost. Each of the categories

We're going to take a deep dive into all four of the performance categories, one-by-one. Each of the four categories carry a percentage of the overall MIPS composite performance score (CPS) - and these weighted scores vary per category. We'll begin our deep dive with the MIPS Quality Performance category, since it carries the most weight within the total MIPS CPS.

Read More>>

Last Updated on Saturday, 13 August 2016 12:56
 
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