Healthmonix Advisor

Transforming care through collaboration: Lessons from the frontlines of value-based healthcare

Posted by Paul Grant on May 21, 2025

One theme emerged loud and clear at the NAACOS Spring 2025 Conference: transformation isn’t just about systems. It’s about people, collaboration, and actionable workflows. 

Healthcare organizations nationwide are navigating the complexities of value-based care (VBC). VBC success is measured in procedures performed and outcomes achieved. It requires coordination between technology, teams, and providers. 

Many organizations are struggling to close the gaps.

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Topics: Quality Performance Category

Redesigning the system: A narrative from Becker’s 2025 annual meeting

Posted by Lauren Patrick on May 15, 2025

Last week, I had the opportunity to join healthcare executives, clinical leaders, and innovators from across the country at the Becker’s Hospital Review 15th Annual Meeting. Every year, this event captures the current temperature of healthcare transformation — but this year felt different. There was a sharpened urgency in the air and a deeper willingness to challenge long-standing norms. 

Across sessions, one question echoed consistently: How do we design a healthcare system that truly delivers value — to patients, providers, employers, and communities? 

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Topics: Quality Performance Category

The Transforming Episode Accountability Model (TEAM): A new era in healthcare

Posted by Lauren Patrick on May 1, 2025

The Transforming Episode Accountability Model (TEAM) is set to revolutionize how hospitals coordinate care for Medicare beneficiaries undergoing high-risk, high-volume surgical procedures. Slated to start in January 2026, this 5-year, mandatory model will focus on improving patient care quality while controlling costs.  

Here’s an in-depth look at what TEAM entails and its potential to transform the healthcare landscape. 

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Topics: Quality Performance Category

What primary care providers must know about billing, compliance, and MIPS MVPs in 2025

Posted by Lauren Patrick on April 24, 2025

In 2025, CMS launched a significant evolution in its commitment to primary care: the Advanced Primary Care Management (APCM) codes. These codes — G0556, G0557, and G0558 — are designed to simplify billing, support patient-centered care, and advance health equity for patients with chronic conditions. 

But there’s a catch. These codes come with new requirements, including participation in the Value in Primary Care MIPS Value Pathway (MVP) for eligible clinicians. 

In this post, we’ll break down: 

  • What APCM codes are 
  • Who can bill them 
  • How they differ from existing care management codes 
  • What’s required for MIPS compliance 
  • What happens if you don’t report 
  • What steps your practice should take next 
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Topics: Quality Performance Category

Healthmonix has done it: Quality reporting success for MSSP ACOs at scale

Posted by Lauren Patrick on April 15, 2025

As value-based care matures, MSSP ACOs face mounting complexity in quality reporting — across EHRs, payers, and evolving CMS requirements. At Healthmonix, we don’t just promise solutions. We’ve already delivered them — at scale, across diverse ACOs, and in direct partnership with forward-thinking healthcare leaders. 

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Topics: ACO, Quality Performance Category

MIPS Cost scores are coming — what to know for 2024 and prepping for 2025

Posted by Lauren Patrick on March 27, 2025

If you’re an eligible clinician participating in MIPS, your 2024 Cost category score will be calculated after submission — and the results may come as a surprise. With Cost accounting for 30% of your total MIPS score, it’s no longer an afterthought. It’s a major factor in your final performance. 

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Topics: MIPS Reporting

Healthmonix’s EACCR designated as a 2025 Qualified Clinical Data Registry by CMS

Posted by Lauren Patrick on January 27, 2025

Malvern, Pa. —Healthmonix is proud to announce that the Emergency and Acute Care Clinical Registry (EACCR) has been approved as a Qualified Clinical Data Registry (QCDR) by the Centers for Medicare & Medicaid Services (CMS) for the 2025 reporting year. This is the fifth straight year Healthmonix has earned this designation for EACCR, which empowers clinicians to seamlessly meet Merit-based Incentive Payment System (MIPS) requirements while leveraging innovative tools to drive improvements in patient care and streamline regulatory compliance.

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Topics: MIPS Reporting

Healthmonix unveils 2025 Mental and Behavioral Health Registry (MBHR) with key measures to enhance care delivery

Posted by Lauren Patrick on January 20, 2025

Malvern, Pa. (Jan. 20, 2025)Healthmonix is proud to announce the release of the 2025 Mental and Behavioral Health Registry (MBHR), a specialized Qualified Clinical Data Registry (QCDR) developed with the American Psychological Association to improve care for individuals with mental and behavioral health conditions. This registry provides healthcare providers with essential tools to track, report, and optimize clinical outcomes in the treatment of mental health and behavioral disorders. 

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Topics: MIPS Reporting

Healthmonix launches 2025 MIPSpro Enterprise QCDR, expanding support for key healthcare specialties

Posted by Lauren Patrick on January 13, 2025

Malvern, Pa. (Jan. 13, 2025) — Healthmonix is proud to announce the release of the 2025 MIPSpro Enterprise Qualified Clinical Data Registry (QCDR). We’ve updated this cutting-edge registry to provide comprehensive support for a wide range of healthcare specialties, helping providers improve care quality, achieve regulatory compliance, and drive better patient outcomes across various clinical settings. 

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Topics: MIPS Reporting

Understanding the CMS MIPS cost measure for Melanoma Resection

Posted by Lauren Patrick on January 10, 2025

The Centers for Medicare & Medicaid Services (CMS) introduced the Melanoma Resection cost measure as part of the Merit-based Incentive Payment System (MIPS). This measure evaluates the cost of care provided during episodes involving the excision of malignant melanoma of the skin or melanoma in situ. 

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Topics: MIPS Reporting