Do you have a plan for the MACRA Legislation and how it is transforming Healthcare from Fee For Service (FFS) to Quality Payment Program (QPP)?
YES NO
What’s the MACRA Quality Payment Program?
The MACRA QPP will help CMS to move more quickly toward their goal of paying for value and better care. The Quality Payment Program has two paths:
- Merit-Based Incentive Payment System (MIPS)
- Alternative Payment Models (APMs)
MIPS and APMs will go into effect over a timeline from 2017 through 2021 and beyond.
Do you know which path you qualify for?
YES NO
- Advanced APM Options (MSSP Tracks 2 or 3, Next Generation ACO, The Oncology Care Model Two-Sided Risk Arrangement, Comprehensive ESRD Care Model, Comprehensive Primary Care Plus (CPC+), Certain commercial contracts with sufficient risk, including MAP (starting 2021))
- MIPS – Everyone else
What’s the Merit-Based Incentive Payment System (MIPS) and are you tracking these measurements?
The MIPS is a new program that combines parts of the Physician Quality Reporting System (PQRS), the Value Modifier (VM or Value-based Payment Modifier), and the Medicare Electronic Health Record (EHR) incentive program into one single program in which Eligible Professionals (EPs) will be measured on:
- Quality
- Resource use
- Clinical practice improvement
- Meaningful use of certified EHR technology
Do you know what data needs to be analyzed?
YES NO
Do you need assistance in analyzing the data?
YES NO
What are Alternative Payment Models (APMs)?
APMs give CMS new ways to pay health care clinicians for the care they give Medicare beneficiaries. For example:
- From 2019-2024, pay some participating health care clinicians a lump-sum incentive payment.
- Increased transparency of physician-focused payment models.
- Starting in 2026, offers some participating health care clinicians higher annual payments.
Accountable Care Organizations (ACOs), Patient Centered Medical Homes, and bundled payment models are some examples of APMs.
Do you have a HCC solution?
YES NO
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