The Healthmonix Advisor

Disillusioned About MIPS Incentives? Here’s Why You Shouldn’t Be.

Posted by Christina Zink on January 11, 2019

If your organization invested significant money and time into achieving a high MIPS score in 2017, the final incentive payment you received may have felt… well, disappointing. As easy as it may be to recognize the ideological importance of shifting from fee-for-service to value-based care, many clinicians and organizations feel unable to practically justify such an investment in the absence of a meaningful financial incentive.

But there’s good news: incentives will continue to rise in coming years, and those achieving the highest scores will soon find their efforts rewarded on a much larger scale. Here’s why.

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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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Everything You Need To Know About QCDRs

Posted by Christina Zink on May 31, 2018

As we make our way through year two of the Quality Payment Program (QPP), it’s clearer than ever that simply reporting quality data is no longer enough. CMS penalties and incentives reach 5% in 2018, and in future years payment adjustments will continue to increase along with the percentage of patients you will be required to report on. Meeting quality standards and cutting costs are also increasingly important as measures are assessed against benchmarks and peers. Choosing the best reporting method for your practice is therefore an increasingly important step toward reporting efficiency and ultimately reporting success.

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Nail Your 2018 QPP Reporting with the Help of our MACRA Specialists

Posted by Lauren Patrick on May 15, 2018

Over the past year, we tracked over 11 million patients with over 2 BILLION quality actions in MIPS reporting alone! We are already back to work and developing some really cool new analytic solutions to help our clients optimize their Quality outcomes.

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Topics: MACRA, MIPS, Advanced APMs

Interested in providing feedback to CMS about the burden that MIPS places on your practice?

Posted by Lauren Patrick on February 25, 2018

Apply to help CMS in its new study, running from April 2018 through March 2019, and make your voice heard.

CMS is looking for groups and individuals that are eligilbe for MIPS to help study the burden that the MIPS program, particularly the Quality component, place on eligible clinicians. In return, successful participants will receive full credit for the Improvement Activity component of MIPS this year (2018).

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Topics: MACRA and MIPS, MIPS Quality Component, MACRA, MIPS

MIPS Performance Categories in 2018

Posted by Christina Zink on November 3, 2017

With the first performance year of the Merit-based Incentive Payment System (MIPS) drawing to a close, you may have just started getting accustomed to how MIPS reporting works. Although the 2018 MACRA final rule introduced changes to how MIPS performance data should be captured for the upcoming performance year, it may be a relief to hear that largely the changes just build upon the existing 2017 regulations.

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2018 MACRA Final Rule Released

Posted by Christina Zink on November 3, 2017

Yesterday afternoon, CMS released the 2018 Final Rule for the MACRA Quality Payment Program. The rule finalized some changes we were expecting, and others that came as a surprise. The second year of the Quality Payment Program will be more advanced than the first, aiming to get clinicians ready for the even more intense requirements mandated by the MACRA legislation to be enacted in 2019.

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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

Unleashing the Potential of Value Based Care

Posted by Lauren Patrick on September 29, 2017

Value-based payment models aim to address rising healthcare costs, clinical inefficiency and duplication of services. To survive in an industry with increasing competition a solid understanding of the business case for implementing value based care is imperative.

The most notable value based care program currently is the MACRA Quality Payment Program, which provides the option to participate in MIPS or an advanced APM. If you’ve been keeping up with our blog posts recently you may already know that the deadline for the last MIPS performance period of the year is October 2nd, and that as long as you start collecting data by that date you will be able to report successfully.

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Topics: MACRA, Value Based Payment Models

Data Completeness for MIPS Quality Measures [Infographic]

Posted by Christina Zink on August 25, 2017

Over the last two weeks, we've shown you how to select quality measures. Now that you've decided which measures to collect data for, it's time to start reporting! If you have reported PQRS in the past, the process will be similar with a few major changes. Eligible clinicians who are new to reporting may want to first check out our article on the basics of quality measures prior to understanding how to completely report a quality measure.

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Topics: MACRA, MIPS, Quality Measures