The Centers for Medicare & Medicaid Services (CMS) has proposed sweeping updates to the Medicare Physician Fee Schedule (PFS) that would expand accountable care organizations (ACOs), sunset traditional Merit-based Incentive Payment System (MIPS) in 2029 and further shift physician reimbursement toward value-based care.
The CMS...CMS Rules
The Centers for Medicare and Medicaid Services (CMS) will give physician groups participating in the Merit-based Incentive Payment System (MIPS) additional time to apply for a waiver that will allow their data to be re-weighted to account for the impacts of COVID-19 and the surge in cases related to the Omicron variant. CMS has assured...National News
This week, skilled nursing facilities are finding new pathways to value-based care and the Medicare Access and CHIP Reauthorization Act (MACRA) is under review for incentives. While ACOs have been struggling, the American Medical Group Association recommended several ways to improve them in a letter to the Centers for Medicare &...National News
The Centers for Medicare and Medicaid Services (CMS) solicited information on how best to curb administrative tasks and streamline process, the American Medical Group Association (AMGA) and the Medical Group Management Association (MGMA) responded with several regulatory and policy reforms.
AMGA recommended CMS revise regulations and...Arizona News
Last week, Centers for Medicare and Medicaid Services (CMS) Administrator Seema Verma released an update to her Merit-based Incentive Payment System (MIPS) original performance evaluation published in May. The November 8 blog post revealed 93 percent of participants merited a positive payment adjustment for their 2017...National News
BPCI Advanced will qualify as an Advanced Alternative Payment Model (APM) under the Quality Payment Program.
BPCI Advanced will operate under a total-cost-of-care concept, in which the total Medicare fee for services (FFS) spending on all items and services furnished to a BPCI Advanced Beneficiary during the Clinical Episode,...
A refresher may be in order of what the acronyms mean and their purposes.
The Medicare Payment Advisory Commission (MedPAC) is an independent US federal body. MedPAC was established by the Balanced Budget Act of 1997 (P.L. 105-33). The Commission's 17 members bring diverse expertise in the financing and delivery of health care...
Get the skinny on the Medicare Access and Chip Reauthorization Act (MACRA) and how to recognize the opportunities and threats it provides to future provider revenue.
After nine months into MACRA's first performance year, many physicians in the valley are being rated for quality (60%), advancing care information (25%) and improvement...National News
MACRA gives incentives to physicians to provide the best and most efficient care.
Providers participating in Advanced Alternative Payment Models (APM) may receive incentive payments. To be considered an Advanced APM, a group's participants must use certified electronic health record technology, the group must pay for covered...
Yesterday was the deadline to submit comments.
The proposed rule amends the Quality Payment Program portion of MACRA (The Medicare Access and CHIP Reauthorization Act of 2015).
The proposal suggests many changes, including:
*Participation in virtual groups
*Exempting more physicians with low volumes of Medicare patients from...
American Medical Association and consulting firm KPMG released a report this week that indicates the majority of medical practices are not compliant.
The Medicare Access and CHIP Reauthorization Act is well underway in its first year rollout. The survey looked at responses from 1,000 physicians who have been involved in practice...National News
A 1058 page proposed rule to craft 2018 Updates to the Quality Payment Program is released.
Changes announced Tuesday afternoon feature continuation of "pick your pace" for the new payment system's data reporting and expands exemption of physicians from mandatory participation. "The most significant proposed changes for 2018 intend...
The MACRA 2018 proposed rule is under consideration. Two white papers provide readers with a bit of MACRA history along with recommendations for organizations navigating payment reform and strategies.
White Papers Produced By: EGG Management Consultants and Hooper, Lundy & Bookman, PC
ECG...
This white paper is provided by Merritt Hawkins, a physician search and consulting firm
Physician and Hospital Reimbursement: From “Lodge Medicine” to MIPS
Published January 2016
In this white paper, Merritt Hawkins traces how compensation for physician and hospital services has evolved through...
