The Healthmonix Advisor

Christopher Jayne

Chris is an enthusiastic Healthcare Consultant with a passion for service and being on the front line of the changing healthcare and technology industries. With a background in education and service, he has a knack for listening, connecting, and guiding people in the best decisions for them. Connect with Chris on LinkedIn! https://www.linkedin.com/in/christopher-jayne-51396811b/
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Recent Posts

"Pathways to Success": ACOs Now And In The Future

Posted by Christopher Jayne on August 31, 2018

The tracks of the Medicare ACO model vary greatly, but have been steadily gaining in prevalence since their launch in 2011. Despite the steady increase in ACO participation, most groups are staying at the Track 1 level. In fact, in 2018, 460 of the 649 ACOs existed at the Track 1 level.

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The Small Change To E&M Charges That Could Hugely Impact Your Reimbursement

Posted by Christopher Jayne on August 23, 2018

The new proposed rule for 2019 features a lot of changes to the Quality Payment Program, but CMS has also announced changes impacting Medicare reimbursement in general. One big change proposed would affect how much money a clinician receives for billing office or outpatient Evaluation and Management (E&M) visits for new and existing patients.

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Value-Based Care: Stalled But Here To Stay

Posted by Christopher Jayne on August 3, 2018

 

If you keep up to date about healthcare payment model trends, you may have noticed a newly re-ignited concern about the future of value-based care. A recent Quest Diagnostics survey highlighted perceptions that physicians lack the tools to succeed under the payment model, and that payers and providers are not well aligned in this endeavor. The survey further showed that over two-thirds of health plan executives and physicians believed the U.S. has a fee-for-service healthcare system versus a value-based care system. Overall, the study concluded that physicians and health plan executives perceive that progress toward value-based care has stalled.

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How to Comment on the 2019 Proposed Rule

Posted by Christopher Jayne on July 27, 2018

 

The Centers for Medicare & Medicaid Services (CMS) released the 2019 Proposed Rule for the Medicare Physician Fee Schedule on July 12, 2018. The release of the 2019 proposed rule is advantageous in deciding what to conquer under the Quality Payment Program for both this year and in the future, which is why we published a series of posts summarizing the major proposed changes you should be aware of. But what if you have a suggestion that would improve the rule?

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Topics: MACRA, MIPS

Hospital at Home: High Quality Care Outside of the Hospital

Posted by Christopher Jayne on July 5, 2018

I was intrigued by a recent Becker’s article which outlines the results of Mount Sinai’s use of the “Hospital at Home” model for acute care. According to the article, patient experience showed improvement and readmission rates were noticeably lower. I had to know more, so I decided to do some research into exactly what this model of care looks like.

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What I Learned Working With a MIPS Registry (And What You Need to Know, Too)

Posted by Christopher Jayne on June 28, 2018

Through my work with MIPSPRO, I’m given daily opportunities to watch people reporting from the outside looking in. As a result, I’ve uncovered a few truths in reporting that providers might not notice if they’ve only ever reported through their EHRs or Claims submission. Today I want to share some of those insights with you.

 

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The Philadelphia Take Steps Walk: How Health Systems can make a Difference to Patients and Families

Posted by Christopher Jayne on May 24, 2018

This past Sunday, I was fortunate enough to attend the Philadelphia Take Steps Walk. Sponsored by the Crohn’s and Colitis Foundation and organized by members of the local community, this event raised $388,000 to fight inflammatory bowel diseases (IBD). Hundred of patients, providers, and organizations met at Citizen’s Bank Park here in Philadelphia to enjoy an educational festival, celebrate loved ones fighting IBD, and walk through the stadium and field as a show of solidarity to anyone suffering from these diseases.

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Slick MIPS Tricks to Consider in 2018

Posted by Christopher Jayne on April 19, 2018

As the Merit-Based Incentive Payment System (MIPS) become more complex, clinicians will be looking for answers to their reporting questions. Consultants, billers, and technology vendors often face the brunt of those questions, but don’t feel best-suited to answer them. After spending most waking hours assisting with last-minute MIPS submissions last month, I wanted to disclose a few quick tips for you to share with anyone looking to report.

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Topics: MIPS

Revenue Cycle Management: A Key To Success in MIPS, MACRA, and VBC

Posted by Christopher Jayne on March 22, 2018
As MACRA barrels into its second full year of implementation, we’re noticing mixed reactions to the reporting process. Some practices and organizations have thrown their best efforts into reporting and earning an incentive, while others are only interested in finding the easiest way to get compliant and avoid any penalty on their Medicare Part B reimbursements.
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3 Key Takeaways from the 2017 MACRA Summit

Posted by Christopher Jayne on November 1, 2017

The Second National MACRA MIPS/APM Summit is the leading forum on MACRA, MIPS, APMs, and other Value Based Payment Models. With no fee increases across-the-board for physicians from 2020-2025, value-based payment is going to become key for any health system's viability. Healthmonix was pleased to attend this summit and see MACRA policy and perspective in the making, with thought leaders in the medical, research, and business fields convening to break down MACRA and it's implementation now, as well as look towards the future of what MACRA can and should be.

We put together a brief list of takeaways from this event.

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Topics: MACRA and MIPS, MACRA, Advanced APMs