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Payment Innovation: Quality Payment Program
Finalized in the CY 2018 QPP, the CMS established a new protocol for quality measures impacted by changes in ICD-10 coding.
Payment Innovation: Quality Payment Program
The CMS uploaded new materials to the QPP Resource Library.
Payment Innovation: Quality Payment Program
The CMS is accepting election notices from providers who want to participate in a MIPS virtual group for the 2020 performance year.
Payment Innovation: Quality Payment Program
CMS has uploaded new materials to the QPP Resource Library
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
CMS has announced that they have begun distribution of the 2019 APM bonuses. The Advanced APM pathway of the CMS Quality Payment Program lets clinicians earn rewards for taking on financial risk.
Payment Innovation: Quality Payment Program
CMS uploaded new materials to the Quality Payment Program Resource Library.
Payment Innovation: Quality Payment Program
CMS has updated its QPP resource center.
Payment Innovation: Quality Payment Program
CMS is accepting hardship exemption applications for the MIPS Promoting Interoperability (PI) Performance Category.
Payment Innovation: Quality Payment Program
CMS has updated its QPP resource center.
Payment Innovation: Quality Payment Program
CMS will host a webinar to provide an overview on how to become a qualifying advanced alternative payment model participant through the All-Payer Combination Option.
Payment Innovation: Quality Payment Program
CMS has updated its QPP resource center.
Payment Innovation: Quality Payment Program
Clinicians are able to request targeted review of their MIPS final score until September 30.
Payment Innovation: Quality Payment Program
CMS has updated its QPP resource center.
Payment Innovation: Quality Payment Program
CMS will host a webinar to discuss the MIPS Value Pathways as proposed in a CMS Request for Information appearing in the 2020 Medicare Physician Fee Schedule Proposed Rule.
Payment Innovation: Quality Payment Program
CMS has updated its QPP resource center.
Payment Innovation: Quality Payment Program
CMS has uploaded new materials to the QPP Resource Library
Payment Innovation: Quality Payment Program
CMS is proposing 10 episode-based cost measures and revisions to the current Medicare Spending per Beneficiary and Total per Capita Cost measures in the recently released 2020 PFS Proposed Rule.
Payment Innovation: Quality Payment Program
CMS will hold virtual office hours for participants to learn more about the 2020 MIPS Qualified Registry and Qualified Clinical Data Registry Self-Nomination process.
Payment Innovation: Quality Payment Program
CMS uploaded new materials to the QPP Resource Library.
Payment Innovation: Quality Payment Program
CMS has contracted with Acumen, LLC to develop episode-based cost measures for potential use in the MIPS cost performance category.
Payment Innovation: Quality Payment Program
CMS uploaded new materials to the QPP Resource Library.
Payment Innovation: Quality Payment Program
On July 29, 2019, CMS released the CY 2020 Revisions to Payment Policies under the Physician Fee Schedule and Other Changes to Part B Payment Policies (CMS-1715-P).
Payment Innovation: Quality Payment Program
CMS uploaded new materials to the QPP Resource Library.
Payment Innovation: Quality Payment Program
CMS to host two webinars on 2017 QPP Performance information published on Physician Compare.
Payment Innovation: Quality Payment Program
CMS Administrator Verma shared ACO participation information for the July 1 MSSP start date.
Payment Innovation: Quality Payment Program
CMS has announced that it will change a tobacco-use quality measure from a pay-for-performance measure to a pay-for-reporting measure.
Payment Innovation: Quality Payment Program
With the 2020 MIPS Performance Period Self-Nomination period underway, CMS will host a 2020 Self-Nomination Application Virtual Office Hours.
Payment Innovation: Quality Payment Program
CMS uploaded new materials to the QPP Resource Library.
Payment Innovation: Quality Payment Program
CMS has added new performance information to the Physician Compare website.
Payment Innovation: Quality Payment Program
CMS shares preliminary participation data for the Quality Payment Program during 2018.
Payment Innovation: Quality Payment Program
The 2020 performance period MIPS Self-Nomination materials were posted to the QPP Resource Library.
Payment Innovation: Quality Payment Program
CMS released final scores for the 2018 Merit-based Incentive Payment System.
Payment Innovation: Quality Payment Program
CMS uploaded new materials to the QPP Resource Library.
Payment Innovation: Quality Payment Program
CMS is holding office hours to provide updates on recent work in MIPS cost measure development.
Payment Innovation: Quality Payment Program
CMS is accepting nominations for a TEP for developing and maintaining behavioral health measures.
Payment Innovation: Quality Payment Program
CMS will conduct data validation and audits of select MIPS eligible clinicians for performance years 2017 and 2018.
Payment Innovation: Quality Payment Program
CMS uploaded new materials to the QPP Resource Library.
Payment Innovation: Quality Payment Program
Over 100 provider groups issued a letter to Congress calling for changes to MACRA.
Payment Innovation: Quality Payment Program
CMS released a Qualifying APM Participants Methodology Fact Sheet for 2019.
Payment Innovation: Quality Payment Program
CMS uploaded new materials to the QPP Resource Library.
Payment Innovation: Quality Payment Program
CMS will end the free technical assistance provided to large practices on July 17, 2019.
Payment Innovation: Quality Payment Program
The MIPS Annual Call for Measures and Activities is open.
Payment Innovation: Quality Payment Program
CMS uploaded new resources to the QPP Resource Library.
Payment Innovation: Quality Payment Program
CMS is holding two webinars providing an overview of quality measures.
Payment Innovation: Quality Payment Program
CMS posted the 2019 Quality Measure Development Plan Annual Report.
Payment Innovation: Quality Payment Program
CMS released the newest episode of its Beyond the Policy podcast.
Payment Innovation: Quality Payment Program
CMS is hosting a QCDR Self-Nomination Application Demo for 2020 on June 11.
Payment Innovation: Quality Payment Program
A recent OIG report finds challenges with ACO care coordination.
Payment Innovation: Quality Payment Program
CMS is holding a webinar on May 21 on the All-Payer Combination Option.
Payment Innovation: Quality Payment Program
CMS posted the eCQM specifications for 2020 reporting.
Payment Innovation: Quality Payment Program
CMS uploaded new resources to the QPP Resource Library.
Payment Innovation: Quality Payment Program
ONC released a report on the use of electronic records by office-based physicians.
Payment Innovation: Quality Payment Program
CMS releases all-payer guidance for the 2020 performance period.
Payment Innovation: Quality Payment Program
CMS to hold webinar on the MIPS Improvement Activities performance category on May 23.
Payment Innovation: Quality Payment Program
CMS uploaded new resources to the QPP Resource Library.
Payment Innovation: Quality Payment Program
CMS is hosting a webinar on May 16 about MIPS group participation for 2019.
Payment Innovation: Quality Payment Program
CMS will hold a webinar on May 9 to provide an overview of Advanced APMs.
Payment Innovation: Quality Payment Program
A new feature was added to the QPP Lookup Tool for APM entities.
Payment Innovation: Quality Payment Program
On May 8 the Senate Finance Committee held a hearing examining MACRA.
Payment Innovation: Quality Payment Program
CMS uploaded new resources to the QPP Resource Library.
Payment Innovation: Quality Payment Program
Participants in a MIPS study can earn 2019 Improvement Activity credit.
Payment Innovation: Quality Payment Program
The 2019 call for MIPS Promoting Interoperability measures and Improvement Activities is open.
Payment Innovation: Quality Payment Program
CMS is requesting nominations for the MIPS Improvement Activities Technical Expert Panel.
Payment Innovation: Quality Payment Program
CMS uploaded new resources to the Quality Payment Program Resource Library.
Payment Innovation: Quality Payment Program
CMS is hosting a webinar on April 24 on the MIPS APM scoring standards.
Payment Innovation: Quality Payment Program
CMS uploaded new resources to the Quality Payment Program Resource Library.
Payment Innovation: Quality Payment Program
CMS opens CMS Web Interface registration and the CAHPS for MIPS survey for 2019.
Payment Innovation: Quality Payment Program
The preliminary 2018 MIPS performance feedback data is now available.
Payment Innovation: Quality Payment Program
CMS is holding two webinars on facility-based measurement and the PI performance category for MIPS.
Payment Innovation: Quality Payment Program
CMS releases the 2017 Quality Payment Program Experience Report.
Payment Innovation: Quality Payment Program
CMS is offering a supplemental 30-day preview period for Physician Compare.
Payment Innovation: Quality Payment Program
CMS has updated its QPP Resource Library.
Payment Innovation: Quality Payment Program
April 2, 2019, 8 pm ET, is the 2018 MIPS Data Submission Deadline.
Payment Innovation: Quality Payment Program
CMS released new MIPS web-based training course.
Payment Innovation: Quality Payment Program
CMS will host additional webinars on MIPS and MACRA measures.
Payment Innovation: Quality Payment Program
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).
Payment Innovation: Quality Payment Program
CMS has updated its QPP resource center.
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
CMS invites eligible clinicians, professional associations and medical associations to submit MIPS quality measures for consideration for future years.
Payment Innovation: Quality Payment Program
CMS has updated its QPP Resoure Center.
Payment Innovation: Quality Payment Program
MedPAC is scheduled to discuss this report at their public meeting on March 7, 2019.
Payment Innovation: Quality Payment Program
CMS will host a webinar titled “Eligible Clinician New eCQMs Finalized for 2019” on March 11, 2019, from 1 to 2 pm EST.
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
CMS has updated its QPP Resource Center
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
CMS has updated its QPP Resources
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
Clinicians can now check the Quality Payment Program (QPP) Participation Status Tool to view their MIPS eligibility status for the 2019 performance period.
Payment Innovation: Quality Payment Program
CMS discovers an error in the application of the 2019 MIPS payment adjustment where Medicare Administrative Contractors applied the adjustment to Part B drugs.
Payment Innovation: Quality Payment Program
AMA recommends eliminating MIPS exclusions in letter to House Speaker Nancy Pelosi.
Payment Innovation: Quality Payment Program
CMS is hosting two 2018 Merit-based Incentive Payment System (MIPS) data submission office hours sessions in February and March.
Payment Innovation: Quality Payment Program
CMS has updated its QPP Resource Library.
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
CMS has added additional resources to its QPP Resource Center
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
CMS will host a webinar on January 30 from 12 to 1 pm EST on the Diabetes electronic clinical quality measures.
Payment Innovation: Quality Payment Program
The QPP participation status tool now includes third snapshot of 2018 Qualifying APM participants and MIPS APMs data.
Payment Innovation: Quality Payment Program
CMS has updated its QPP Resource Library.
Payment Innovation: Quality Payment Program
CMS officially opened the data submission period for MIPS eligible clinicians who participated in Year 2 (2018) of the Quality Payment Program.
Payment Innovation: Quality Payment Program
CMS has uploaded new resources to the QPP Resource Library for the 2019 Quality Payment Program.
Payment Innovation: Quality Payment Program
CMS has updated its QPP Resource Center
Payment Innovation: Quality Payment Program
CMS will host a webinar on Preventive Care and Screening eCQMs on January 15
Payment Innovation: Quality Payment Program
As 2018 comes to a close, we are approaching key deadlines for the Quality Payment Program.
Payment Innovation: Quality Payment Program
CMS has added new resources to its QPP Resource Center
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
CMS HAS recently posted an updated list of Alternative Payment Models.
Payment Innovation: Quality Payment Program
CMS has released MIPS-related QPP resources.
Payment Innovation: Quality Payment Program
Physician compare preview period is open through December 31, 2018.
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
Eligible clinicians can check the Quality Payment Program (QPP) Participation Status Tool to view their final 2018 MIPS eligibility status.
Payment Innovation: Quality Payment Program
CMS releases MUC list.
Payment Innovation: Quality Payment Program
CMS has updated the QPP resource library.
Payment Innovation: Other , Quality Payment Program
CMS announces Medicaid demonstration to expand mental health treatment services.
Payment Innovation: Quality Payment Program
CMS Updates QPP participation tool.
Payment Innovation: Quality Payment Program
CMS to host webinar covering the 2019 MPFS final rule on November 19.
Payment Innovation: Quality Payment Program
CMS has added additional resources to the QPP Resource Center.
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
CMS will host a webinar on Thursday, November 15, 2018 on the 2019 Quality Payment Program Final Rule.
Payment Innovation: Quality Payment Program
CMS has posted new QPP resources.
Payment Innovation: Quality Payment Program
CMS has uploaded a number of new resources to the QPP resource center, including web-based training courses.
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
MedPAC is scheduled to discuss a policy option for revising the Advanced APM incentive payment during their public meeting on Thursday, November 1.
Payment Innovation: Quality Payment Program
CMS has scheduled several QPP webinars geared towards Physicians Compare and the CMS Web Interface for ACOs and Groups
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
CMS has uploaded a number of new resources to the Quality Payment Program (QPP) Resource Library.
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
CMS to host webinar on patient relationship categories and codes on Wednesday, October 17, 2018.
Payment Innovation: Quality Payment Program
CMS announces BPCI participants and releases its 5th evaluation report on the initiative.
Payment Innovation: Quality Payment Program
CMS recently opened the annual virtual group election period for the MIPS 2019 Performance Year.
Payment Innovation: Quality Payment Program
Save the Date: Physician Compare National Provider Call October 3, 2018 1:30 – 3:00 PM ET
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
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).
Payment Innovation: Quality Payment Program
CMS recently posted an infographic on 2019 MIPS adjustments for the 2017 Performance Year.
Payment Innovation: Quality Payment Program
CMS announces “slight” adjustments to some 2017 MIPS final scores.
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
CMS posts two new APM resources related to other payer Advanced APMs.
Payment Innovation: Quality Payment Program
On September 20, 2018, CMS is hosting a virtual office hours session on the 2019 MIPS self-nomination process.
Payment Innovation: Quality Payment Program
CMS has posted resource documents on the Merit-based Incentive Payment System (MIPS) for anesthesiologists, cardiologists and radiologists.
Payment Innovation: Quality Payment Program
CMS posts validation criteria for the 2018 Merit-based Incentive Payment System (MIPS) program.
Payment Innovation: Quality Payment Program
CMS has released a data set showing how Medicare Accountable Care Organizations (ACOs) performed in 2017.
Payment Innovation: Quality Payment Program
CMS is hosting a webinar at 2:00 PM ET on August 30, 2018, on the 2019 Performance Period MIPS self-nomination process.
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
CMS hosts virtual group webinar on August 27, 2018 at 2pm ET
Payment Innovation: Quality Payment Program
Applications are due by December 31, 2018
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
The Centers for Medicare & Medicaid Services (CMS) is hosting two Quality Payment Program (QPP)-related conference calls.
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
The Centers for Medicare & Medicaid Services (CMS) has announced they are hosting several Merit-based Incentive Payment System (MIPS)-related conference calls.
Payment Innovation: Quality Payment Program
The Centers for Medicare and Medicaid Services (CMS) posted a webpage dedicated to the Medicare Advantage Qualifying Payment Arrangement Incentive (MAQI) demonstration.
Payment Innovation: Quality Payment Program
MIPS 2017 Performance Feedback Users Guide now available
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
Submission of signed participation agreements now due August 8, 2018
Payment Innovation: Quality Payment Program
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).
Payment Innovation: Quality Payment Program
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).
Payment Innovation: Quality Payment Program
The Centers for Medicare & Medicaid Services (CMS) released 2017 Merit-based Incentive Payment System (MIPS) performance feedback.
Payment Innovation: Quality Payment Program
The Centers for Medicare & Medicaid Services (CMS) has created a Qualified Clinical Data Registry (QCDR) Measure Development Google Group and QCDR/Registry Google Calendar.
Payment Innovation: Quality Payment Program
CMS Hosts Webinar on BPCI Advanced Thursday, June 28, 1 to 2 pm Eastern
Payment Innovation: Quality Payment Program
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).
Payment Innovation: Quality Payment Program
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
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
The Centers for Medicare & Medicaid Services (CMS) is hosting a number of webinars on the Quality Payment Program (QPP) this week.
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
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).
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
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).
Payment Innovation: Quality Payment Program
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).
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
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…
Payment Innovation: Quality Payment Program
The Centers for Medicare & Medicaid Services (CMS) has just announced two webinars related to the Quality Payment Program. Upcoming webinars are listed below.
Payment Innovation: Quality Payment Program
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…
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
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…
Payment Innovation: Quality Payment Program
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).
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment 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…
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Allows clinicians to check their Qualifying Advanced Alternative Payment Model (APM) Participant (QP) status
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
LAN Hosts Summit on Healthcare Innovation on October 30, 2017
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Scheduled for Tuesday, July 18, from 2:00 to 3:30 pm ET
Payment Innovation: Quality Payment Program
An essential tool for a more efficient review of this critically important proposed rule
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Other New CMS Resources on Year 1 and Year 2 of the QPP are Also Available
Payment Innovation: Quality Payment Program
Nominations accepted until July 28, 2017
Payment Innovation: Quality Payment Program
An Archived Video is now Available for On-Demand Viewing
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Scheduled for Wednesday, July 5, from 2:00 to 3:30 pm ET
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
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
Payment Innovation: Quality Payment Program
Applications accepted until July 13, 2017
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Webinar Scheduled for Monday, May 22, 2017, 1:00 PM – 2:00 PM ET
Payment Innovation: Quality Payment Program
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…
Payment Innovation: 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.
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
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…
Payment Innovation: Quality Payment Program
Quality and Advancing Care Information Criteria Will Be Released in Summer 2017.
Payment Innovation: Quality Payment Program
Webinar Scheduled for May 11, 2017, 1:00 – 2:30 PM ET
Payment Innovation: Quality Payment Program
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…
Payment Innovation: Quality Payment Program
First webinar on MIPS Quality Reporting Scheduled for May 5, 2017 from 3:30 – 4:30 PM ET
Payment Innovation: Quality Payment Program
Nominations due May 16, 2017
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
Nomination deadline extended from April 17 to April 24, 2017
Payment Innovation: Quality Payment Program
Groups utilizing the CMS web interface and/or CAHPS reporting must register by June 30, 2017
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
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…
Payment Innovation: Quality Payment Program
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…
Payment Innovation: Quality Payment Program
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.,…
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
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…
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
Agency commits to another $80 million in funding over the next four years
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
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).
Payment Innovation: Quality Payment Program
Participants receive full credit for the Improvements Activities Performance Category
Payment Innovation: Quality Payment Program
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).
Payment Innovation: Quality Payment Program
Comments on updated list due no later than January 6, 2017
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
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…
Payment Innovation: Quality Payment Program
On September 8, 2016, the Centers for Medicare & Medicaid Services (CMS) announced updated 2017 MACRA participation options via the CMS blog.
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
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).
Payment Innovation: Quality Payment Program
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…
Payment Innovation: Quality Payment Program
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…
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
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…
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Tension between Need for Specialty Focused Versus More General Models Emerged from Public Comments
Payment Innovation: Quality Payment Program
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.
Payment Innovation: Quality Payment Program
CMS posts a draft Quality Measure Development Plan
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program
Payment Innovation: Quality Payment Program