by Ron Edroso

Topics: MIPS Value Pathways, 2023 PFS Final Rule

by Roy Edroso

For CY2023 changes to the Quality Payment Program (QPP) and Merit-based Incentive Payment System (MIPS), CMS focuses its attention on the MIPS Value Pathways (MVP), a new measures regimen that begins on a voluntary basis in 2023. A mandatory adoption deadline remains fluid.

Topics: CMS, MIPS Value Pathways, 2023 PFS Proposed Rule

by Expert Panel® Forbes Councils Member

Topics: Public Relations, sales

by Roy Edroso

A flurry of new proposals from HHS and CMS centered around “health equity” suggests that federal agencies may soon require providers to perform equity related tasks, and experts believe data collection is likely to be the first attainable goal.

Topics: CMS, Health equity

Expert Panel® Forbes Councils Member

Topics: sales, e-commerce

by Roy Edroso

Experts are getting a closer look at the ACO REACH model CMS suddenly unveiled in February, and it’s looking good for ACOs who don’t have unlimited financial resources, as well as for the advancement of CMS’ health equity cause. After months of controversy over the CMS Global and Professional Direct Contracting (GPDC) model from the Center for Medicare and Medicaid Innovation (CMMI), CMS announced Feb. 24 that, starting in 2023, the program would be transformed into the Accountable Care Organization (ACO) Realizing Equity, Access and Community Health (REACH) model, or ACO REACH. Its participants would be called ACOs instead of Direct Contracting Entities (DCE) (PBN 2/28/22, 3/7/22).

 

Topics: CMS, ACO Reach, Health equity

Expert Panel® Forbes Councils Member

Topics: company culture, social issues

The delay on a full switchover to the MIPS Value Pathways (MVP) program may relieve anxious partici­pants, but experts say it's merely a reprieve in a Quality Payment Program (QPP) that is slated to undergo funda­mental change in coming years. In 2022, in what may be the final year of traditional MIPS reporting, providers will face thresholds that are higher than ever, and participants who've been breezing through may find rougher going.

Topics: MACRA & MIPS, Cost Performance Category, MIPS Value Pathways, 2022 PFS Final Rule

by Roy Edroso

Topics: ACOs, APM Performance Pathway, ACO Reach

by Roy Edroso

After their first year of using the Alternative Payment Model (APM) Performance Pathway (APP) reporting method, participants in the Shared Savings program are spared further challenges as CMS delays the full transition to electronic clinical quality measures (eCQM) and MIPS clinical quality measures (MIPS CQM) and scales back some program requirements. 

Topics: CMS, Healthmonix, ACOs, APM Performance Pathway