Healthmonix Advisor

Malvern, Pa. (Jan. 6, 2025) — Healthmonix proudly announces that MIPSpro and APP Impact have been approved by CMS as a Qualified Registry for the 2025 performance year under the Quality Payment Program (QPP). This designation underscores Healthmonix’s role as a trusted partner for healthcare providers and organizations, enabling seamless participation in Traditional MIPS, MIPS Value Pathways (MVPs), Medicare Shared Savings Program (MSSP) ACOs, and other Alternative Payment Pathways (APPs). 

The Centers for Medicare and Medicaid Innovation (CMMI) have introduced the Making Care Primary (MCP) model, a new initiative aimed at transforming primary care delivery through value-based care.  

 The MCP model, announced June 8, 2023, is a 10.5-year multi-payer partnership launched July 1, 2024. This voluntary model aims to improve care management and care coordination while addressing patients' health-related social needs. 

In today’s digital healthcare world, data security isn’t optional; it’s essential. At Healthmonix, we’ve built a secure SAS application backed by HITRUST certification, HIPAA compliance, adherence to NIST standards, and a culture of security awareness that reaches all employees. 

Why should I report a QCDR? This question arises for many providers who want to report MIPS measures but can’t find ones that represent their patient population.This challenge is most prevalent for specialists, leading to the creation of Qualified Clinical Data Registry (QCDR) measures. 

While many people on the East Coast were shifting into weekend mode Friday evening, CMS released the 2025 Medicare Physician Fee Schedule (PFS) Final Rule.  

How will the 2025 PFS Final Rule affect our customers at Healthmonix? These are our initial impressions.  

Attending the National Association of Accountable Care Organizations (NAACOS) conference is always an invigorating experience, packed with knowledge-sharing, networking, and a look into the future of ACOs. Twice a year, I’m given the opportunity to learn from leaders, experts, and passionate advocates as they discuss the latest trends, breakthroughs, and challenges in ACOs.  

Following the event, I reached out to some of our customers and partners to capture their biggest takeaways. 

This year’s HLTH 2024 conference delivered on its promise to push the boundaries of what’s possible in healthcare. It was a chance to connect with peers, challenge the status quo, and dig into the trends that will reshape our industry. From the innovative — but so needed — concept of socially prescribed care to the potential ripple effects of the upcoming election, HLTH 2024 was a window into a rapidly changing landscape.

Here’s what stood out to me.

We’re excited to unveil Healthmonix’s evolution through our strategic rebranding, a journey we began sharing several months ago. We’re ready to share details about what this transformation means for us and for the healthcare providers we serve. 

Our rebranding reflects our broader commitment to offering comprehensive solutions that empower providers to thrive in value-based care programs. This transformation isn’t only about enhancing patient outcomes but also increasing the efficiency of healthcare delivery. 

2024 stands as a pivotal year for healthcare providers, marking the end of leniency granted since the COVID-19 Public Health Emergency began. Participation in the Quality Payment Program (QPP) and the Merit-based Incentive Payment System (MIPS) is no longer optional — if providers fail to engage, they’ll face penalties.  

For the first time since the COVID-19 Public Health Emergency (PHE), all eligible clinicians must engage with the MIPS program or face a stark 9% cut in Medicare Part B claim reimbursements. With the stakes raised this year, scores have become pivotal. Additionally, the threshold for avoiding penalties has jumped in recent years, making high scores a coveted achievement. 

Within MIPS, the quality component demands each clinician or group to report on 6 quality measures. The scoring landscape, however, has shifted: 

• Bonus points for eCQM and additional high-priority measures have been eliminated. 
• The baseline score for measures has been reduced from 3 points to 0 for non-small practices, adding to the competitive tension.