Healthmonix Advisor

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. 

The Centers for Medicare & Medicaid Services (CMS) continues to relax regulations to enable hospitals, clinics and other providers to boost their front-line medical staff during the COVID-19  pandemic. This pandemic has created an urgency for expansion of the use of virtual healthcare to reduce the risk of spreading the virus. It has also created a need to relax practice restrictions and allow more flexible care practices to meet the needs of patients.

Health systems face a unique challenge when navigating the CMS Quality Payment Program (QPP). All currently available options to comply with the QPP require the submission of some form of clinical quality measures. With multiple specialties and often multiple sources for tracking billing and clinical data, aggregating all available data in a coherent, efficient, and centralized way can seem nearly impossible for the average health system. This case study demonstrates how MIPSPRO assisted one of their health system clients by streamlining their quality reporting process.

The future is here!

This Wednesday, the CMS Innovation Center, in collaboration with the American Academy of Physicians and the Laura and John Arnold Foundation, announced the Artificial Intelligence (AI) Health Outcomes Challenge to predict unplanned hospital and skilled nursing facility admissions and adverse events.