Archive for: APM

  • ORIGINAL ANALYSIS

  • PDF DOWNLOAD

  • EXTERNAL LINK

  • POST

Payment Innovation: Other

LAN Releases Updated Report on APM Adoption

Health Care Payment Learning and Action Network released a new report on alternative payment model adoption.

POST

Payment Innovation: Regulation

CMS Releases the CY 2019 PFS Proposed Rule

Includes proposals for physician payment and the Medicare Quality Payment Program

POST

Payment Innovation: PTAC

Secretary Responds to PTAC Recommendations

Secretary Responds to PTAC Recommendations; Does Not Commit to Implementing any Models but Indicates Particular Interest in Two Serious Illness Models

POST

Payment Innovation: Innovation Center

Feedback Solicited on Opioid Alternative Payment Model

The American Medical Association (AMA) and the American Society of Addiction Medicine (ASAM) are soliciting feedback on a proposed alternative payment model (APM)

POST

Payment Innovation: Innovation Center

Adam Boehler Named as Head of CMS Innovation Center

On Friday, April 6, 2018, Health and Human Services Secretary Alex Azar named Adam Boehler, the founder and former CEO of Landmark Health, as the deputy administrator and director of the Centers for Medicare & Medicaid Services (CMS) Innovation Center. Created under the Obama Administration through the Affordable Care Act, the CMS Innovation Center supports the development and…

ORIGINAL ANALYSIS

Payment Innovation: PTAC

PTAC Recommends Models for Implementation and Limited Scale Testing at March 2018 Meeting

The Physician-Focused Technical Advisory Committee (PTAC) met March 26-27, 2017, in Washington, DC, to review four proposed payment models.

ORIGINAL ANALYSIS

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: Innovation Center

CMS Announces New Voluntary BPCI Advanced Model

On Tuesday, January 9, 2018, the Centers for Medicare and Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (Innovation Center) announced a new voluntary episode payment model, Bundled Payments for Care Improvement Advanced (BPCI Advanced Model) that will test a new iteration of bundled payments for 32 Clinical Episodes. The Advanced BPCI Model will operate…

ORIGINAL ANALYSIS

Payment Innovation: PTAC

PTAC Recommends Two Models for Implementation at December 2017 Public Meeting

The Physician-Focused Technical Advisory Committee (PTAC) met December 18-20, 2017, in Washington, DC, to review seven proposed payment models.

ORIGINAL ANALYSIS

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).

ORIGINAL ANALYSIS

Payment Innovation: Innovation Center

CMS Finalizes Changes to the Comprehensive Care for Joint Replacement Model, Cancels Episode Payment Models and Cardiac Rehabilitation Incentive Payment Model

On Thursday, November 30, 2017,  CMS released the final rule and interim final rule to implement changes to the Comprehensive Joint Replacement Program (CJR).

ORIGINAL ANALYSIS

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

Registration Open for 2017 LAN Summit

LAN Hosts Summit on Healthcare Innovation on October 30, 2017

ORIGINAL ANALYSIS

Payment Innovation: Advanced APMs

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…

ORIGINAL ANALYSIS

Payment Innovation: Innovation Center

Health Affairs Blog Launches New Topic: Diffusion of Innovation

On May 16, 2017, the Health Affairs Blog launched a new topic: Diffusion of Innovation. The focus of the blog topic is how innovations are diffused across health care and will continue over the next year followed by the publication of a theme issue in February 2018.

ORIGINAL ANALYSIS

Payment Innovation: PTAC

PTAC Cancels June 2017 Meeting

The Physician-Focused Payment Model Technical Advisory Committee (PTAC) will not be holding a public meeting scheduled for June 5-6. The next scheduled meeting is September 7-8, 2017.

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: Other

LAN Spring Forum: Aligning for Action

LAN Hosts Virtual Forum on May 1, from 1-3:30 PM ET

ORIGINAL ANALYSIS

Payment Innovation: Innovation Center

CMMI Hosts Public Listening Session on Radiation Therapy APMs on May 3rd

The Center for Medicare & Medicaid Innovation (CMMI) will hold a public listening session regarding the development of a report to Congress on an alternative payment model for radiation therapy services. The listening session, scheduled for May 3, 2017, will provide an important opportunity for all stakeholders to provide input on the report.

ORIGINAL ANALYSIS

Payment Innovation: PTAC

PTAC Recommends Two Payment Models for Limited-Scale Testing

The Physician-Focused Technical Advisory Committee (PTAC) met April 10-11, 2017, in Washington, DC, to review three proposed payment models. PTAC recommended two of the models, Project Sonar and the ACS-Brandeis Advanced Alternative Payment Model (APM), to CMS for limited-scale testing. PTAC rejected the third proposal, the COPD and Asthma Monitoring Project. A fourth proposal, the Comprehensive Colonoscopy Advanced APM for…

ORIGINAL ANALYSIS

Payment Innovation: Innovation Center

CMS Hosts Oncology Care Model Stakeholder Feedback Opportunity on May 11

CMS is hosting a stakeholder feedback opportunity on the Oncology Care Model (OCM) on Thursday, May 11, 2017 from 1:00-4:00 p.m. EDT. All interested OCM stakeholders are invited to attend this public forum, with the goal of hearing feedback about OCM. The forum will include a brief introduction from the OCM team followed by discussion.…

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.

ORIGINAL ANALYSIS

Payment Innovation: PTAC

PTAC Releases Updated Agenda for April 10-11, 2017 Meeting

On Friday, April 7, 2017, the Physician-Focused Payment Model Technical Advisory Committee (PTAC) released an updated agenda for their April 2017 meeting. Originally four proposals were scheduled to be presented for public comment and final vote. The Comprehensive Colonoscopy Advanced Alternative Payment Model for Colorectal Cancer Screening, Diagnosis and Surveillance proposal has been withdrawn. PTAC…

ORIGINAL ANALYSIS

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: Innovation Center

CMS Hosts Webinar on ACO Track 1+ Model

Registration is open for a webinar hosted by the Centers for Medicare and Medicaid Services (CMS) on the ACO Track 1+ model.  Previously, CMS announced that beginning in 2018 the ACO Track 1+ model would be an option under the Advanced APM track of the Quality Payment Program.

ORIGINAL ANALYSIS

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.

ORIGINAL ANALYSIS

Payment Innovation: Innovation Center

CMS Releases RFI on Pediatric APMS

On Monday, February 27, 2017, CMS released a Request for Information (RFI) to collect stakeholder input on the development of pediatric Alternative Payment Models (APMS). The focus of this RFI is on the improvement of quality and reduction in cost for the care of children enrolled in Medicaid and the Children’s Health Insurance Plan (CHIP).

ORIGINAL ANALYSIS

Payment Innovation: PTAC

PTAC Announces Public Meetings for March and April 2017

The Physician-Focused Payment Model Technical Advisory Committee (PTAC) recently announced two public meetings scheduled for March 13-14 and April 10-11. Registration information is available here.

ORIGINAL ANALYSIS

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.

ORIGINAL ANALYSIS

Payment Innovation: Innovation Center

Released: CMS Innovation Center Report to Congress

On Thursday, January 5, 2017 the CMS Innovation Center released its third Report to Congress. While the focus of the report was on activities between October 1, 2014 and September 30, 2016, it also included initiatives between September 30, 2016 and December 31, 2016.

POST

Payment Innovation: Regulation

CMS Finalizes Policies for New Mandatory Cardiac and Orthopedic Models, Adjustments to CJR; Previews Details of Medicare Track One Plus ACO Model

On Tuesday, December 20, 2016 the Centers for Medicare and Medicaid Services (CMS) finalized several new Innovation center models expanding the agency’s footprint in the value based payment model space.

ORIGINAL ANALYSIS

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).

ORIGINAL ANALYSIS

Payment Innovation: Regulation

Lost Your Bearings in the MACRA Final Rule? M+ Table of Contents Will Help You Find Your Way

Both a standalone TOC and TOC hyperlinked to the Official Federal Register Published Final Rule are available.

ORIGINAL ANALYSIS

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.

ORIGINAL ANALYSIS

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…

ORIGINAL ANALYSIS

Payment Innovation: PTAC

PTAC Accepts Comments on Draft RFP and PFPM-related Guidance Until October 14

The Physician-Focused Technical Advisory Committee (PTAC) is accepting comments until October 14, 2016, on a draft Request for Proposals (RFP) for physician-focused payment models (PFPMs) and draft guidance on characteristic of payment models likely to be recommended by PTAC.

ORIGINAL ANALYSIS

Payment Innovation: PTAC

PTAC Anticipates Accepting PFPM Proposals Beginning December 1

The Physician Focused Technical Advisory Committee (PTAC) announced during a recent public meeting that they anticipate accepting proposals for Physician-Focused Payment Models (PFPMs) beginning December 1, 2016. Since it is anticipated that there will be few Advanced Alternative Payment Model (APM) options for physician specialists, PTAC and the development of PFPMs are considered critical in…

ORIGINAL ANALYSIS

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).

POST

Payment Innovation: PTAC

PTAC Public Meeting Announced for September 16

The Physician-Focused Payment Model Technical Advisory Committee (PTAC) announced a public meeting for September 16, 2016. Registration information is available here. While a formal agenda has not yet been released, it is anticipated that PTAC will discuss its revised Proposal Review Process document which was recently posted on their website along with a document summarizing their response to public…

ORIGINAL ANALYSIS

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…

ORIGINAL ANALYSIS

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…

ORIGINAL ANALYSIS

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.

ORIGINAL ANALYSIS

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.

ORIGINAL ANALYSIS

Payment Innovation: Regulation

Medicare Unveils Plan for New Medicare Physician Payment System

MACRA will impact millions of clinicians across all specialties that provide services to Medicare beneficiaries. This presentation is a guide to understanding the major components of this complex Proposed Rule in a brief and easily understandable format.

POST

Payment Innovation: Regulation

MACRA Proposed Rule Posted (Updated)

CMS posted the proposed rule to implement the Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs) established by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).

POST

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.

ORIGINAL ANALYSIS

Payment Innovation: Other

LAN Releases Final APM White Paper

On January 12, 2016 the Health Care Payment Learning & Action Network (LAN) released the final Alternative Payment Model (APM) Framework White Paper. The paper defines payment model categories and establishes a common framework and a set of conventions for measuring progress in the adoption of APMs.

ORIGINAL ANALYSIS

Payment Innovation: PTAC

GAO Makes Appointments to New HHS Advisory Committee on Physician Payment Models

On October 9, 2015 the Government Accountability Office (GAO) announced the first appointments to the Physician-Focused Payment Model Technical Advisory Committee. The Medicare Access and CHIP Reauthorization Act of 2015 established this committee to provide comments and recommendations to the Secretary of Health and Human Services on physician payment models, giving the Comptroller General responsibility…

ORIGINAL ANALYSIS

Payment Innovation: Other

CMS Releases RFI on the Implementation of MIPS and the Promotion of Alternative Payments Models

On September 28, 2015, the Centers for Medicare and Medicaid Services (CMS) released Request for Information (RFI) on the Implementation of the Merit-based Incentive Payment System (MIPS), Promotion of Alternative Payment Models (APMs) and Incentive Payments for Participation in Eligible APMs (CMS-3321-NC).

POST

Load more
beakernav X1E2BFA62-BFCE-43C1-B777-27E3E5216018medical bagoriginal analysis +external linkpdf downloadstethoscope