When I was in college, MIPS used to stand for “millions of instructions per second,” a measurement of how fast your computer performs. With MACRA on the horizon, MIPS now stands for "Merit-Based Incentive Payment System." While its aim is to measure value of care, MIPS is now a measurement of how fast your practice can accommodate pay-for-performance reimbursements. With MIPS fast approaching, preparing for the upcoming changes is critical.
By 2018, the Department of Health and Human Services plans to have 90% of the Medicare FFS reimbursements involved in a value-based program.1 By 2020, a task force including private insurance giants like Aetna and Health Care Service Corporation (HCSC) has committed to converting 75% of their business to value-based incentive programs.2 Clearly, there is a demonstrable trend emerging that will be expensive to ignore.The leading program to pay attention to in this major industry shift towards value-based care is the Medicare and Chip Reauthorization Act (MACRA). This post is the first in a series focused on providing you with industry insights and updates that will help prepare you for MACRA and seize incentives now and in the future.
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Topics: PRO Tips, MACRA & MIPS, Eligibility, RCM