Archive for: Quality Payment Program

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Payment Innovation: Quality Payment Program

CMS Updates QPP Resources

CMS uploaded new resources to the Quality Payment Program Resource Library.

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Payment Innovation: Quality Payment Program

Upcoming Webinar on MIPS APM Scoring Standards on April 24

CMS is hosting a webinar on April 24 on the MIPS APM scoring standards.

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Payment Innovation: Quality Payment Program

CMS Opens Web Interface and CAHPS Survey Registration

CMS opens CMS Web Interface registration and the CAHPS for MIPS survey for 2019.

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Payment Innovation: Quality Payment Program

Upcoming CMS MIPS Webinars on Facility-based Measurement and the PI Performance Category

CMS is holding two webinars on facility-based measurement and the PI performance category for MIPS.

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Payment Innovation: Quality Payment Program

CMS Updates QPP Resources

CMS has updated its QPP Resource Library.

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Payment Innovation: Quality Payment Program

REMINDER: April 2, 2019, 8 pm ET, is the 2018 MIPS Data Submission Deadline

April 2, 2019, 8 pm ET, is the 2018 MIPS Data Submission Deadline.

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Payment Innovation: Quality Payment Program

CMS Hosts Webinar on the MIPS Cost Performance Category in 2019

CMS will hold a webinar on March 12, 2019 to provide an overview of the MIPS Cost performance category of the in 2019 (Year 3).

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Payment Innovation: Quality Payment Program

CMS Seeks Nominations of Clinical Experts for Subcommittees Developing Cost Measures

CMS is accepting nominations until April 12, 2019, of physicians and other practitioners interested in providing clinical input for the development of episode-based cost measures to be used to implement the Cost Performance Category of the Merit-based Incentive Payment System.

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Payment Innovation: Quality Payment Program

President’s Budget Proposes to Revamp and Streamline MIPS and Advanced APMs

On March 11, 2019, President Trump submitted to Congress his budget request for FY 2020. It calls for a 12% cut in funding for HHS and includes two key proposals related to the Quality Payment Program.

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Payment Innovation: Quality Payment Program

Annual Call for MIPS Quality Measures is Open

CMS invites eligible clinicians, professional associations and medical associations to submit MIPS quality measures for consideration for future years.

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Payment Innovation: Quality Payment Program

MedPAC to Discuss MACRA-Mandated Report on Clinician Payment in Medicare

MedPAC is scheduled to discuss this report at their public meeting on March 7, 2019.

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Payment Innovation: Quality Payment Program

CMS Hosts Webinar on New eCQMs Finalized for 2019

CMS will host a webinar titled “Eligible Clinician New eCQMs Finalized for 2019” on March 11, 2019, from 1 to 2 pm EST.

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Payment Innovation: Quality Payment Program

Webinar on CME Counting as MIPS Improvement Activity

CMS and the Accreditation Council for Continuing Medical Education will host a webinar on March 6, 2019, on continuing medical education as MIPS Improvement Activity.

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Payment Innovation: Quality Payment Program

CMS Hosts Two-Part Webinar Series on 2019 QCDR Measure Development and Review Process

CMS is hosting a two-part webinar series to provide information about the 2019 Qualified Clinical Data Registry (QCDR) measures for the Merit-based Incentive Payment System.

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Payment Innovation: Quality Payment Program

CMS Hosts Webinar on Feb 21: Overview of APMs for 2019 Performance Year

CMS will host a webinar on February 21 at 2 pm EST to provide a basic overview of Alternative Payment Models for the 2019 Performance Year of the Quality Payment Program.

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Payment Innovation: Quality Payment Program

Preliminary 2019 MIPS Eligibility Available on the QPP Website

Clinicians can now check the Quality Payment Program (QPP) Participation Status Tool to view their MIPS eligibility status for the 2019 performance period.

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Payment Innovation: Quality Payment Program

CMS Identifies Error in Application of 2019 MIPS Payment Adjustment

CMS discovers an error in the application of the 2019 MIPS payment adjustment where Medicare Administrative Contractors applied the adjustment to Part B drugs.

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Payment Innovation: Quality Payment Program

Trade Association Calls on Congress to Eliminate MIPS Exclusions

AMA recommends eliminating MIPS exclusions in letter to House Speaker Nancy Pelosi.

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Payment Innovation: Quality Payment Program

CMS Hosts MIPS Data Submission Office Hours in February and March 2019

CMS is hosting two 2018 Merit-based Incentive Payment System (MIPS) data submission office hours sessions in February and March.

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Payment Innovation: Quality Payment Program

CMS Updates QPP Resources

CMS has updated its QPP Resource Library.

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Payment Innovation: Quality Payment Program

Opportunities to Participate in a Technical Expert Panel

CMS has announced opportunities to participate in a Technical Expert Panel. Individuals with expertise in the relevant fields including clinicians, statisticians, quality improvement, methodologists and pertinent measure developers, as well as consumers, are encouraged to submit nominations.

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Payment Innovation: Quality Payment Program

CMS Hosts Webinar on MIPS for Year 3 of QPP

CMS will host a webinar on January 24, from 1 to 2 pm EST, on the MIPS 2019 Performance Year (Year 3) of the QPP.

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Payment Innovation: Quality Payment Program

CMS Updates QPP Resources

CMS has added additional resources to its QPP Resource Center

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Payment Innovation: Quality Payment Program

CMS Solicits Recommendations on New Measure Sets for MIPS and Comments on Existing Measure Sets

CMS requests recommendations on new measure sets for the quality performance category and/or revisions to existing specialty measure sets for the quality performance category for program year 2020 of the MIPS program. Recommendations will be accepted until the close of business on Monday, February 11, 2019.

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Payment Innovation: Quality Payment Program

CMS Hosts Webinar on Eligible Clinician eCQM Diabetes Measures

CMS will host a webinar on January 30 from 12 to 1 pm EST on the Diabetes electronic clinical quality measures.

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Payment Innovation: Quality Payment Program

QPP Participation Status Tool Updated

The QPP participation status tool now includes third snapshot of 2018 Qualifying APM participants and MIPS APMs data.

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Payment Innovation: Quality Payment Program

MIPS 2018 Data Submission Period is Now Open

CMS officially opened the data submission period for MIPS eligible clinicians who participated in Year 2 (2018) of the Quality Payment Program.

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Payment Innovation: Quality Payment Program

CMS Updates QPP Resources for 2019

CMS has uploaded new resources to the QPP Resource Library for the 2019 Quality Payment Program.

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Payment Innovation: Quality Payment Program

CMS Updates QPP Resources

CMS has updated its QPP Resource Center

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Payment Innovation: Quality Payment Program

CMS Hosts Webinar on Preventive Care and Screening eCQMs

CMS will host a webinar on Preventive Care and Screening eCQMs on January 15

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Payment Innovation: Quality Payment Program

Key QPP Dates and Deadlines

As 2018 comes to a close, we are approaching key deadlines for the Quality Payment Program.

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Payment Innovation: Quality Payment Program

CMS Updates QPP Resources

CMS has added new resources to its QPP Resource Center

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Payment Innovation: Quality Payment Program

Now Available: MIPS Web-based Training Course

A new web-based training course titled, Quality Payment Program: Merit-based Incentive Payment System Participation in 2018, is available through the MLN Learning Management System.

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Payment Innovation: Quality Payment Program

Updated List of Advanced APMs Released

CMS HAS recently posted an updated list of Alternative Payment Models.

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Payment Innovation: Quality Payment Program

CMS Updates QPP Resources

CMS has released MIPS-related QPP resources.

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Payment Innovation: Quality Payment Program

Physician Compare Preview Period is Now Open

Physician compare preview period is open through December 31, 2018.

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Payment Innovation: Quality Payment Program

Call for Comments: MIPS Outcome Measures

CMS is soliciting comments on two inpatient quality measures they are adapting for the Merit-based Incentive Payment System. Comments are due Jan 4, 2019.

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Payment Innovation: Quality Payment Program

MIPS Participation Lookup Tool Updated: Final 2018 MIPS Eligibility Status Now Available

Eligible clinicians can check the Quality Payment Program (QPP) Participation Status Tool to view their final 2018 MIPS eligibility status.

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Payment Innovation: Quality Payment Program

CMS Updates QPP Resources

CMS has updated the QPP resource library.

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Payment Innovation: Quality Payment Program

CMS Updates QPP Resources

CMS has added additional resources to the QPP Resource Center.

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Payment Innovation: Quality Payment Program

93% of MIPS Eligible Clinicians Will Receive a Positive MIPS Payment Adjustment in 2019

CMS has announced that 93 percent of MIPS eligible clinicians will receive a positive MIPS payment adjustment in 2019 based on their performance in 2017. Overall, 95 percent of eligible clinicians avoided a negative payment adjustment. The chart below summarizes the results.

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Payment Innovation: Quality Payment Program

CMS Hosts Webinar on the 2019 Quality Payment Program Final Rule

CMS will host a webinar on Thursday, November 15, 2018 on the 2019 Quality Payment Program Final Rule.

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Payment Innovation: Quality Payment Program

CMS Updates QPP Resources

CMS has uploaded a number of new resources to the QPP resource center, including web-based training courses.

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Payment Innovation: Quality Payment Program

CMS Extends Cost Measure Field Testing to Nov. 5

CMS is extending the timeframe for submitting feedback on the 2018 field testing of cost measures until Monday, November 5, 2018, at 12:00 pm EDT.

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Payment Innovation: Quality Payment Program

MedPAC Scheduled to Discuss Modifying the Advanced APM Incentive on Nov 1

MedPAC is scheduled to discuss a policy option for revising the Advanced APM incentive payment during their public meeting on Thursday, November 1.

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Payment Innovation: Quality Payment Program

Upcoming QPP Webinars

CMS has scheduled several QPP webinars geared towards Physicians Compare and the CMS Web Interface for ACOs and Groups

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Payment Innovation: Quality Payment Program

CMS Releases Guidance on How 2019 Payment Adjustments Will Be Indicated on Claims

CMS has released guidance to help MIPS eligible clinicians understand how to identify and interpret the application of positive, neutral and/or negative MIPS payment adjustments to be applied to payments for certain claims submitted for services furnished in calendar year 2019 based on clinicians’ 2017 MIPS final scores.

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Payment Innovation: Quality Payment Program

Updates to QPP Resource Library

CMS has uploaded a number of new resources to the Quality Payment Program (QPP) Resource Library.

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Payment Innovation: Quality Payment Program

QPP Website Update: 2018 Performance Feedback for MIPS Quality Data Submitted via Claims Now Available

CMS has updated the QPP website so individual eligible clinicians who choose to submit their Quality performance category data via claims can access performance feedback for the 2018 performance year on an ongoing basis.

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Payment Innovation: Quality Payment Program

CMS Announces Field Testing of 13 Cost Measures through October 31, 2018

CMSis conducting field testing for 13 cost measures before consideration of their potential use in the MIPS cost performance category in 2020 or beyond. Note: These are not the same measures currently in use for the 2017 and 2018 MIPS performance periods.

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Payment Innovation: Quality Payment Program

CMS Hosts Webinar on Patient Relationship Categories and Codes

CMS to host webinar on patient relationship categories and codes on Wednesday, October 17, 2018.

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Payment Innovation: Quality Payment Program

CMS Opens Virtual Groups Election Period for MIPS 2019 Performance Year

CMS recently opened the annual virtual group election period for the MIPS 2019 Performance Year.

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Payment Innovation: Quality Payment Program

Save the Date: Physician Compare National Provider Call

Save the Date: Physician Compare National Provider Call October 3, 2018 1:30 – 3:00 PM ET

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Payment Innovation: Quality Payment Program

QPP Developer Resource: CMS Open Sources Code for Developers that Calculates QPP Quality Measures from Claims Data

CMS open-sources QPP code responsible for calculating quality measures from Medicare claims data submitted by eligible clinicians via Quality Data Codes. This code is intended for developers interested in the calculation mechanism supporting QPP Claims to Quality.

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Payment Innovation: Quality Payment Program

CMS Announces Field Testing of Cost Measures

CMS and its contractor, Acumen, will conduct field testing in October 2018 for 13 cost measures. These measures will be considered for use in the MIPS Cost Performance Category in 2020 or beyond.

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Payment Innovation: Quality Payment Program

Representative DelBene Circulates Dear Colleague Letter on MIPS Low Volume Threshold

Rep. DelBene (D-WA) requests support in asking CMS to adjust the MIPS low-volume threshold in order to include more providers in MIPS as part of the final 2019 physician fee schedule.

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Payment Innovation: Quality Payment Program

CMS Awards Funding for Quality Measure Development

CMS announces the selection of seven applicants to receive cooperative agreement awards through the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Funding Opportunity: Measure Development for the Quality Payment Program (QPP).

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Payment Innovation: Quality Payment Program

MIPS Resource: CMS Posts Infographic on 2019 Payment Adjustments

CMS recently posted an infographic on 2019 MIPS adjustments for the 2017 Performance Year.

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Payment Innovation: Quality Payment Program

Energy and Commerce Health Subcommittee Hearing to Review Regulatory Burdens that Impede Value-Based Arrangements

On September 13, 2018 at 1:15 pm, the Energy and Commerce Health Subcommittee will hold a hearing entitled “Examining Barriers to Expanding Innovative, Value-Based Care in Medicare.”  The hearing will look at ways to meaningfully evaluate and increase the use of Medicare value-based payment arrangements.

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Payment Innovation: Quality Payment Program

MIPS Resource: CMS Posts Details on Beneficiary Assignment Methodology for Groups and Virtual Groups

CMS recently posted a report that describes the process used by CMS for assigning beneficiaries to a group or a virtual group participating in the Merit-based Incentive Payment System.

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Payment Innovation: Quality Payment Program

CMS Hosts Virtual Office Hours on the 2019 MIPS Performance Period Self-Nomination Process

On September 20, 2018, CMS is hosting a virtual office hours session on the 2019 MIPS self-nomination process.

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Payment Innovation: Quality Payment Program

2018 MIPS Resources for Anesthesiologists, Cardiologists and Radiologists Posted on QPP Resource Center

CMS has posted resource documents on the Merit-based Incentive Payment System (MIPS) for anesthesiologists, cardiologists and radiologists.

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Payment Innovation: Quality Payment Program

CMS Posts 2018 MIPS Data Validation Criteria

CMS posts validation criteria for the 2018 Merit-based Incentive Payment System (MIPS) program.

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Payment Innovation: Quality Payment Program

CMS Releases 2017 MSSP ACO Performance Data

CMS has released a data set showing how Medicare Accountable Care Organizations (ACOs) performed in 2017. 

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Payment Innovation: Quality Payment Program

CMS Hosts 2019 Performance Period MIPS Self-Nomination JIRA Demonstration Webinar on August 30th

CMS is hosting a webinar at 2:00 PM ET on August 30, 2018, on the 2019 Performance Period MIPS self-nomination process.

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Payment Innovation: Quality Payment Program

Call for Nomination: Improvement Activities TEP

CMS has issued a call for nominations for its MIPS Improvement Activities Technical Expert Panel (TEP). CMS is seeking feedback from a group of stakeholders, consumers, patients and experts who can contribute direction and thoughtful input on the improvement activities during development and maintenance.

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Payment Innovation: Quality Payment Program

Registration Open for 2018 LAN Summit

The Health Care Payment Learning & Action Network (LAN) is hosting their 2018 Fall Summit on Monday, October 22 at the Sheraton Tysons Hotel in Tysons, VA.

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Payment Innovation: Quality Payment Program

ONC Releases Request for Information

The Office of the National Coordinator for Health IT released a request for information on criteria to measure the performance of certified electronic health record technology, as required by the 21st Century Cures Act.

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Payment Innovation: Quality Payment Program

CMS Posts Virtual Groups Toolkit for 2019 MIPS Performance Year

CMS hosts virtual group webinar on August 27, 2018 at 2pm ET

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Payment Innovation: Quality Payment Program

CMS Releases First Snapshot of 2018 APM Qualifying Participant and MIPS APM Status

CMS updated the Quality Payment Program Participation Status Tool to include 2018 Advanced Alternative Payment Model Qualifying Participant and Merit-based Incentive Payment System APM status.

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Payment Innovation: Quality Payment Program

CMS Opens Application for Medicare Advantage Qualifying Incentive Arrangement Demonstration

CMS is now accepting applications for the Medicare Advantage Qualifying Incentive Arrangement demonstration project under the Medicare Access and CHIP Reauthorization Act Quality Payment Program.

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Payment Innovation: Quality Payment Program

CMS Hosts QPP Conference Calls

The Centers for Medicare & Medicaid Services (CMS) is hosting two Quality Payment Program (QPP)-related conference calls.

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Payment Innovation: Quality Payment Program

CMS Hosting Several MIPS-related Conference Calls

The Centers for Medicare & Medicaid Services (CMS) has announced they are hosting several Merit-based Incentive Payment System (MIPS)-related conference calls.

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Payment Innovation: Quality Payment Program

CMS Launches MAQI Demonstration Website

The Centers for Medicare and Medicaid Services (CMS) posted a webpage dedicated to the Medicare Advantage Qualifying Payment Arrangement Incentive (MAQI) demonstration.

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Payment Innovation: Quality Payment Program

GOP Doctors Caucus Asks CMS to Reduce MIPS Exemptions

On July 3, 2018, five members of the House Republican Doctors Caucus asked CMS Administrator Seema Verma to reduce the number of clinicians excluded from the Merit-Based Incentive Payment System (MIPS) in 2019.

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Payment Innovation: Quality Payment Program

CMS Extends Key BPCI Advanced Deadlines

Submission of signed participation agreements now due August 8, 2018

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Payment Innovation: Quality Payment Program

CMS Advances Medicare Advantage Alternative Payment Model Demonstration

The Centers for Medicare and Medicaid Services (CMS) announced that it is pursuing a demonstration project, the Medicare Advantage Qualifying Payment Arrangement (MAQI) demonstration, which would allow clinicians involved in risk contracts in Medicare Advantage (MA) to be exempt from the Merit-Based Incentive Payment System (MIPS).

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Payment Innovation: Quality Payment Program

GAO Report Considers Small and Rural Practices’ Experiences in MIPS

The Government Accountability Office (GAO) was asked to review certain aspects of small and rural practices participation in legacy incentive programs and the Merit-based Incentive Payment System (MIPS).

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Payment Innovation: Quality Payment Program

QPP Year 1 Update: CMS Informs MIPS Participants of their 2019 Payment Adjustments

The Centers for Medicare & Medicaid Services (CMS) released 2017 Merit-based Incentive Payment System (MIPS) performance feedback.

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Payment Innovation: Quality Payment Program

CMS Announces QCDR Measure Development Google Group and QCDR/Registry Google Calendar

The Centers for Medicare & Medicaid Services (CMS) has created a Qualified Clinical Data Registry (QCDR) Measure Development Google Group and QCDR/Registry Google Calendar.

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Payment Innovation: Quality Payment Program

CMS Hosts Webinar on BPCI Advanced

CMS Hosts Webinar on BPCI Advanced Thursday, June 28, 1 to 2 pm Eastern

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Payment Innovation: Quality Payment Program

CMS Posts Report on MIPS Improvement Activities for Year 1 of the QPP

The Centers for Medicare and Medicaid Services (CMS) released a report on the Improvement Activities (IAs) Performance Category of the Merit-based Incentive Payment System (MIPS) for Year 1 of the Quality Payment Program (QPP).

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Payment Innovation: Quality Payment Program

CMS Finalizes Extreme and Uncontrollable Circumstances Policy for CJR

The Centers for Medicare and Medicaid Services (CMS) published a final rule to provide flexibility to hospital participating in the Comprehensive Care for Joint Replacement (CJR) Model (CJR) located in those areas impacted by extreme and uncontrollable circumstances. 12

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Payment Innovation: Quality Payment Program

Medicare Diabetes Prevention Program Supplier Enrollment Call

On Wednesday, June 20, 2018, the Centers for Medicare & Medicaid Services (CMS), will host a call to present information about the Medicare Diabetes Prevention Program (MDPP) supplier enrollment requirements and process.

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Payment Innovation: Quality Payment Program

Upcoming CMS QPP Webinars

The Centers for Medicare & Medicaid Services (CMS) is hosting a number of webinars on the Quality Payment Program (QPP) this week.

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Payment Innovation: Quality Payment Program

MIPS Preliminary Performance Feedback Data Is Available

Eligible clinicians that submitted 2017 Merit-based Incentive Payment System (MIPS) data through the Quality Payment Program website, can review their preliminary performance feedback. MIPS final scores and feedback will be available in July.

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Payment Innovation: Quality Payment Program

CMS Announces 91% Participation for Year 1 of MIPS

The Centers for Medicare and Medicaid Services (CMS) announced that 91 percent of all clinicians eligible for the Merit-based Incentive Payment System (MIPS) participated in the first year of the Quality Payment Program (QPP). 

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Payment Innovation: Quality Payment Program

Earn Improvement Activity Credit in 2018 for Participating in a Study on the Burden of Quality Measure Reporting

Clinicians and groups who are eligible for the Merit-based Incentive Payment System (MIPS) that participate successfully in the study will receive full credit for the 2018 MIPS Improvement Activities performance category.

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Payment Innovation: Quality Payment Program

CMS Hosts Two-Part Webinar Series on Quality Measures

The Centers for Medicare and Medicaid Services (CMS) is hosting a two-part webinar series that covers an introduction to quality measures, overview of the measure development process, how the public can get involved.

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Payment Innovation: Quality Payment Program

CMS Releases 2018 MIPS Eligibility Tool

The Centers for Medicare and Medicaid Services (CMS) updated their MIPS Participation Tool for the 2018 MIPS program. By entering a National Provider Identification (NPI) number, clinicians can determine if they are eligible to participate in the 2018 MIPS program.

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Payment Innovation: Quality Payment Program

MedPAC Recommends Elimination of MIPS and Adoption of Alternative Approach in March 2018 Report to Congress

On Thursday, March 15, 2018, the Medicare Payment Advisory Commission (MedPAC) released its semiannual report to Congress with a recommendation to eliminate the Merit-Based Incentive Payment System (MIPS) and replace it with an allegedly less burdensome program referred to as the Voluntary Value Program (VVP).

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Payment Innovation: Quality Payment Program

AMA Asks OIG for APM Safe Harbors

The American Medical Association (AMA) recently submitted a letter to the Office of the Inspector General (OIG) to create a safe harbor to facilitate coordinated care and promote well-designed alternative payment models (APMs).

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

109 Physician Specialty Societies, Large Practice Groups and Patient Advocacy Groups Urge Congress to Remove Part B Drugs from MIPS Payment Adjustment

A collection of 109 organizations representing providers and patients submitted a letter urging Congress to block CMS from applying the Merit-based Incentive Payment System (MIPS) adjustment to Part B drug payments.

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Payment Innovation: Quality Payment Program

MedPAC Votes to Replace MIPS

On Thursday, January 11, 2018, the Medicare Payment Advisory Commission (MedPAC) recommended eliminating the Merit-based Incentive Payment System (MIPS) and its related reporting requirements and replacing it with a voluntary value program. Under the proposed model, all clinicians would have a portion of their fee schedule payment withheld. Clinicians then could earn the withhold back…

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

Upcoming CMS Webinars

The Centers for Medicare & Medicaid Services (CMS) has just announced two webinars related to the Quality Payment Program. Upcoming webinars are listed below.

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

CMS Solicits Comments on Specialty Measure Sets

The Centers for Medicare & Medicaid Services (CMS) is accepting recommendations from stakeholders for potential consideration of new specialty measure sets and/or revisions to existing specialty measure sets for program year 2019 of the Merit-based Incentive Payment System (MIPS) program. The current 2018 specialty measure sets are located in the Appendix measure tables of the…

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

2018 MIPS Measures and Activities Posted

The Centers for Medicare and Medicaid Services (CMS) posted documents for the measures and activities for each of the four Merit-based Incentive Payment System (MIPS) performance categories in 2018.

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Payment Innovation: Quality Payment Program

CMS Launches Website to Submit 2017 QPP Data

The Centers for Medicare and Medicaid Services (CMS) announced that eligible clinicians participating in the Quality Payment Program (QPP) can begin submitting their 2017 performance data using a new data submission system on the QPP website. Eligible clinicians can use the web-based system to submit their 2017 QPP performance data during the 2017 submission period which…

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Payment Innovation: Quality Payment Program

OIG Releases QPP Report: Concludes CMS has Made Progress in QPP Implementation but Challenges Remain

The Office of the Inspector General (OIG) recently released a follow-up report to a 2016 early implementation review of the Quality Payment Program (QPP).

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Payment Innovation: Quality Payment Program

CMS Releases List of 22 Measures Under Consideration for the MIPS Program

As required by statute, on November 30, 2017, the Centers for Medicare and Medicaid Services (CMS) released a list of quality measures that are under consideration for Medicare quality reporting and value-based purchasing programs. Of the 32 measures on the list, 22 are being considered for the Merit-based Incentive Payment System (MIPS). The release of…

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Payment Innovation: Quality Payment Program

APM Look-Up Tool Posted

Allows clinicians to check their Qualifying Advanced Alternative Payment Model (APM) Participant (QP) status

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

MedPAC Proposes Alternative to MIPS

The Medicare Payment Advisory Commission (MedPAC) proposed an alternative to the Merit-based Incentive Payment System (MIPS) at their October 5, 2017 public meeting. This proposal expanded on their proposal to redesign MIPS found in their June 2017 Report to Congress.

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

Registration Open for 2017 LAN Summit

LAN Hosts Summit on Healthcare Innovation on October 30, 2017

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

CMS and CAPG Host Webinars on APMs

The Centers for Medicare and Medicaid Services (CMS) is collaborating with CAPG to host two webinars on alternative payment models (APMs). Webinar presenters will include experts from both CMS and CAPG.

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Payment Innovation: Quality Payment Program

McDermottPlus Releases Hyperlinked Table of Contents of 2018 QPP Proposed Rule

An essential tool for a more efficient review of this critically important proposed rule

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

CMS Releases Predictive Analysis on Eligible Clinician QP Status

Based on historical Part B claims analysis, CMS predicts that nearly 100% of eligible clinicians in Advanced APMs will be QPs in performance year 2017

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

Organizations Advocate to CMS to Expand Advanced APM Opportunities to Include APMs Under Medicare Advantage

On May 12, 2017, ten organizations submitted a letter to Secretary of Centers for Medicare and Medicaid Services Tom Price urging him to afford physicians and physician groups credit for participation in Medicare Advantage Alternative Payment Models (APMs) for the Advanced APM pathway of the Quality Payment Program (QPP). Under the QPP, physicians who meet…

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Payment Innovation: Quality Payment Program

Funding Opportunity: Measure Development for the Quality Payment Program

The Centers for Medicare and Medicaid Services (CMS) has announced a funding opportunity to support developing, improving, updating or expanding quality measures for use in the Quality Payment Program under the Merit-Based Incentive Payment System and/or Advanced Alternative Payment Models.

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

Check Your MIPS Eligibility Online at the QPP Website

Clinicians can use their 10-digit National Provider Identification Number to check their 2017 Merit-based Incentive Payment System (MIPS) eligibility on the Quality Payment Program website. Clinicians included in MIPS in 2017, will need to decide whether to report as an individual or with a group. Clinicians exempt from MIPS in 2017, will not need to do anything…

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Payment Innovation: Quality Payment Program

MIPS Improvement Activities Data Validation and Auditing Criteria Released

Quality and Advancing Care Information Criteria Will Be Released in Summer 2017.  

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CMS to Send MIPS Participation Status Letters in Late April and May

The Centers for Medicare and Medicaid Services (CMS) just announced that practices will be receiving letters in late April and May informing them if they need to participate in Merit-based Incentive Payment System (MIPS) in 2017. The letter will come from the Medicare Administrative Contractor that processes their Medicare Part B claims and will tell them the…

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

CMS and CAPG Host Quality Payment Program Webinar Series

First webinar on MIPS Quality Reporting Scheduled for May 5, 2017 from 3:30 – 4:30 PM ET

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

CPT Editorial Panel Considers the Establishment of MACRA-related Modifiers at June 2017 Meeting

The American Medical Association (AMA) CPT® Editorial Panel posted the Proposed Agenda for the June 2017 Panel Meeting. Included on the agenda are two MACRA-related coding proposals.

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Payment Innovation: Quality Payment Program

Registration Open for MIPS Group Web Interface and CAHPS Reporting

Groups utilizing the CMS web interface and/or CAHPS reporting must register by June 30, 2017

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

CMS Announces April 5th Listening Session on Cost Measure Development

CMS is hosting a listening session on episode-based cost measure development for the Merit-based Incentive Payment System (MIPS) from 12:00 – 1:30 PM ET on April 5, 2017. During this listening session, CMS will provide more information on cost measures and the role stakeholders play in cost measure development.

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Payment Innovation: Quality Payment Program

CMS Hosts Advancing Care Information Webinar on April 4th

On Tuesday, April 4 at 1:00 PM ET, the Centers for Medicare & Medicaid Services (CMS) will host a webinar to provide more information on the Advancing Care Information performance category of the Merit-based Incentive Payment System (MIPS). During the webinar, CMS will highlight requirements for the 2017 Advancing Care Information performance category and participants…

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Payment Innovation: Quality Payment Program

Prior to Implementation of MACRA, Physician Groups Request CMS to Address Administrative Burden of Legacy Physician Quality Programs for 2018

On March 21, 2017, the American Medical Association and 86 state and specialty medical societies submitted a letter requesting the Centers for Medicare and Medicaid Services (CMS) reduce the administrative burden and provide for hardship exemptions for the three legacy physician quality programs: Meaningful Use (MU), Physician Quality Reporting System (PQRS) and the Value-based Modifier (VM) in…

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Payment Innovation: Quality Payment Program

CMS Requests Comments on Draft Episode Groups, Trigger Codes and Proposed Framework for Cost Measures

CMS is accepting comments until April 24, 2017, on draft episode groups, trigger codes and a proposed framework for cost measures. The Merit-based Incentive Payment System (MIPS) measures clinicians’ performance in four areas: quality, clinical practice improvement activities, advancing care information (i.e., meaningful use of certified electronic health record technology or CEHRT), and cost (i.e.,…

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Payment Innovation: Quality Payment Program

CMS Seeks Volunteers for QPP Website Testing

CMS is seeking volunteers to test the Quality Payment Program website. CMS is seeking comments on the functionality of the current website as well as recommendations for future improvements. Interested Medicare clinicians, practice managers, administrative staff and EHR and registry vendors are encouraged to volunteer.

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Payment Innovation: Quality Payment Program

MedPAC Considers How to Reduce Burden of MIPS and Encourage Participation in Advanced APMs

On March 2, 2017 the Medicare Payment Advisory Commission (MedPAC) met in Washington DC and discussed alternatives to the Merit-based Incentive Payment System (MIPS), Advanced Alternative Payment Models (APMs) and ways to increase support for primary care.

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

CMS Posts Updated eCQM Table

The Centers for Medicare and Medicaid (CMS) recently posted an updated electronic clinical quality measures (eCQM) table on its website. In an effort to improve alignment of the eCQMs with current quality initiatives, this update removes the previous meaningful use domains and now aligns the measures with the domains listed in the Merit-based Incentive Payment System and…

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Payment Innovation: Quality Payment Program

MedPAC Will Discuss MIPS and Advanced APMs During March 2 Meeting

The Medicare Payment Advisory Commission (MedPAC) has placed discussion of the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs) on the agenda for their March 2 meeting scheduled to be held in Washington, DC.

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Payment Innovation: Quality Payment Program

CMS Opens Call for Measures and Activities

The Centers for Medicare and Medicaid Services (CMS) opened the submission period of the Annual Call for Measures and Activities for the Merit-Based Incentive Payment System (MIPS) track of the Quality Payment Program.

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Payment Innovation: Quality Payment Program

CMS Posts Numerous MACRA Resources on QPP Website

CMS recently posted a variety of MACRA-related educational resources for clinicians, registries, qualified clinical data registries (QCDRs) and EHR vendors to the Quality Payment Program website.

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Payment Innovation: Quality Payment Program

CMS Hosts Call: Transitioning from PQRS to MIPS

CMS is hosting a conference call on Tuesday, January 24 from 2:00 to 3:00 PM ET on how to complete the final reporting period for the legacy Medicare quality reporting programs and transitioning to the Merit-based Incentive Payment System (MIPS).

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Payment Innovation: Quality Payment Program

CMS Accepting Applications for CPIA Measurement Study

Participants receive full credit for the Improvements Activities Performance Category

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Payment Innovation: Quality Payment Program

OIG Releases Report on MACRA Early Implementation Efforts

The Office of the Inspector General (OIG) recently released a report on the results from an early implementation review of the Medicare agency’s management of the Quality Payment Program (QPP).

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Payment Innovation: Quality Payment Program

CMS Posts Slide Decks on MACRA Final Rule

The Centers for Medicare & Medicaid Services (CMS) recently posted a number of slide decks and a webinar recording on the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 final rule.

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Payment Innovation: Quality Payment Program

CMS Announces Reduced Medical Review Pilot Program for Providers Aligned with Certain Advanced APMs

On October 13, 2016, the Centers for Medicare & Medicaid Services (CMS) announced an 18-month pilot program to reduce the burden of medical record review of clinicians participating in certain Advanced Alternative Payment Models (APMs). CMS uses contractors to review payments and claims for accuracy. Despite the administrative burden on both the agency and providers…

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Payment Innovation: Quality Payment Program

CMS Releases MACRA Participation Options for 2017

On September 8, 2016, the Centers for Medicare & Medicaid Services (CMS) announced updated 2017 MACRA participation options via the CMS blog.

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Payment Innovation: Quality Payment Program

Nominations Due on September 15 for MACRA CMS Quality Measure Development Plan Technical Expert Panel

CMS is currently soliciting nominations for technical expert panel members to support the CMS Quality Measure Development Plan (MDP) project.  The MDP is mandated by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), which also requires the preparation of an annual report on the development of measures for the CMS Quality Payment Program.

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Payment Innovation: Quality Payment Program

Bipartisan Letter Urges CMS to Consider Flexibility on MACRA Implementation

On September 6, 2016 bipartisan leaders from the House Energy and Commerce Committee and the House Ways and Means Committee sent a letter to CMS urging flexibility in the implementation of the Medicare Access & CHIP Reauthorization Act (MACRA).

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Payment Innovation: Quality Payment Program

CMS Posts New MACRA Slide Decks

The Centers for Medicare & Medicaid Services (CMS) recently posted new MACRA slide decks on the Quality and Resource Use performance categories. These are the latest additions to a series of presentations CMS is releasing on the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015. Both of these presentations go into greater detail, than…

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Payment Innovation: Quality Payment Program

CMS Announces Funding Opportunity to Support Small Practice Transformation

On Friday, June 10, 2016 the Centers for Medicare & Medicaid Services (CMS) announced funding for the Support and Alignment Networks under the Transforming Clinical Practice Initiative (TCPI). Up to $10 million over the next three years is available to leverage primary and specialist care transformation work and learning in the support of the adoption of…

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Payment Innovation: Quality Payment Program

Joint Quality Payment Program Task Force Met on Tuesday, May 24 – Next Meeting Scheduled for Friday, May 27

On May 24, 2016, the Joint Quality Payment Program Task Force, an advisory board of the Office of the National Coordinator for Health Information Technology (ONC), met to review the Task Force charge and work plan. The Task Force is charged with reviewing the MACRA Proposed Rule with a specific focus on how the use…

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Payment Innovation: Quality Payment Program

Andy Slavitt Provides Testimony at MACRA Hearing

On May 11, 2016 Andrew Slavitt, Acting Administrator of the Centers for Medicare and Medicaid Services (CMS) provided testimony at a hearing on the implementation of the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 held by the Subcommittee on Health of the House Ways and Means Committee.

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Payment Innovation: Quality Payment Program

CMS Posts Slide Deck on Advancing Care Information MIPS Performance Category

The newest addition to the catalog of Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 educational slide decks is on the Advancing Care Information (ACI) performance category of the Merit-Based Incentive Payment System (MIPS). The ACI performance category is designed to meet many of the same objectives of the current Meaningful Use Program.

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Payment Innovation: Quality Payment Program

CMS Solicits Comments on Episode Groups

CMS posted for comment episode groups that are being developed to help measure resource use under the MACRA Merit-Based Incentive Payment System (MIPS) and the Advanced Payment Model program.

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Payment Innovation: Quality Payment Program

CMS Posts Slide Decks from Recent MACRA Webinars

On May 5, 2016 the Centers for Medicare and Medicaid Services (CMS) posted slide decks from recent webinars on the Medicare Access and Children’s Health Insurance Program (CHIP) Reauthorization Act (MACRA) of 2015 Proposed Rule.

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Payment Innovation: Quality Payment Program

CMS Announces Competition for the Development of a MIPS Mobile Platform to Support Provider Education and Outreach

On May 2, 2016 the Centers for Medicare and Medicaid Services (CMS) announced a competition for the development of a Merit-based Incentive Payment System (MIPS) Mobile Platform to support provider education and outreach.

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Payment Innovation: Quality Payment Program

MACRA Update: Physician Focused Payment Model TAC Conducts First Meeting

Tension between Need for Specialty Focused Versus More General Models Emerged from Public Comments

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

MACRA Physician-Focused Payment Model Technical Advisory Committee Meets on Feb 1, 2016

The Physician-Focused Payment Model Technical Advisory Committee will hold its first public meeting on February 1, 2016 in Washington, DC. More information on the meeting, including registration information, is available here.

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