Reimagining PCMH Recognition
|
|
|
- Gregory Boone
- 6 years ago
- Views:
Transcription
1 Reimagining PCMH Recognition August 2016 Michael S. Barr, MD, MBA, MACP Executive Vice President Quality, Measurement & Research Group Re-use without permission is prohibited 1
2 Where is PCMH in future strategies? Where is it going? MACRA? MIPS? 2
3 PCMH is at a Crossroads 3
4 Current Evaluation Process Clinician/Practice Self-assess, collect data using Web-based tool Submit documentation to NCQA when ready May be asked to submit more data if needed NCQA Evaluates and scores all applications Checks clinician licensure Audits a sample of applications Reports those that pass Distributes list of recognized clinicians monthly 4
5 NCQA s Review Methodologies Interactive Survey System Web-based process The Recognition Survey is a desk-top review Organizations and physicians can assess readiness, upload documents on line Audit Validates practice documentation and policies and procedures 5
6 PCMH Critiques Too easy Can achieve recognition without transforming Too hard Small practices, rural practices, urban practices Too focused on process Needs more performance-based evaluation Too much Burdensome review process 6
7 We ve been listening. Here s what we ve heard. 7
8 Key Components of Redesign Engage practices through a combination of live support and a new, interactive Web-based platform Receive and assess clinical data from practices to support recognition, quality measurement and benchmarking 8
9 Three Core Strategies Increase practice engagement while reducing non-value-added work Strengthen link between recognition and performance Be responsive to federal, state and regional needs/priorities 9 8
10 Current Future Current Process Every 3 years, practice must submit all materials for a full review, with little guidance from NCQA Future Process NCQA interacts with practice from the start Practice submits information at agreed-upon intervals until recognized Focused annual review and ongoing data submission to sustain recognition (no Renewal Survey at 3 years) 10 9
11 Redesigned Recognition Process Assess Guided, online readiness assessment Identify health IT connections Develop Recognition schedule with NCQA Representative Identify support and resources for transformation Transform Gather evidence of transformation over time Combine virtual (live) and offline document reviews Clinical data received Periodic reviews help practice know status Success on final review leads to recognition Sustain Annual check-in Demographic and practice updates Verification of continued compliance Subset of existing standards with options Documentation of relevant activities Ongoing data submission 11
12 Pilot Projects Engagement (New to PCMH) Sustaining (Previously Level 2/3) 32 Organizations 44 Organizations ~45 Practice Sites 87 Practice Sites 15 States 18 States Internal Medicine, Pediatrics, Family Medicine, FQHCs Internal Medicine, Pediatrics, Family Medicine, FQHCs, Residencies (4) 12
13 Customer Feedback 13 9
14 Sustaining Recognition Engage practices in an annual check-in providing confirmation of continuing commitment and performance Practices will be required to demonstrate that changes made during the initial recognition effort have been anchored in their day-to-day culture, continuing to enhance their patient-centered approach to care 14
15 Annual Reporting Requirements Practices will demonstrate they continue to align with recognition requirements by submitting some data and documentation on an annual basis. Sustained recognition will be based on a practice s overall performance across six categories. 1. Patient-centered access. 2. Team-based care. 3. Population health management. 4. Care management. 5. Care coordination and care transitions. 6. Performance measurement and quality improvement. For Internal Use Only Do Not Copy Do Not Distribute 15
16 Annual Reporting Requirements Practices can submit data and documentation on special topics, such as behavioral health. Practices must meet the minimum number of requirements for each category. Practices will use a new online platform for submission of documentation that supports reporting requirements at their annual check-in Practices that do not submit by their reporting date or fail to meet requirements may have their recognition status suspended. For Internal Use Only Do Not Copy Do Not Distribute 16
17 Testing Data Connections for Quality Measures Practices Health Systems Data Aggregator HIE, health system, registry, cloudbased EHR 17
18 Quality measures for PCMH benchmarking List of 30+ quality performance measures Includes measures across 7 domains Acute Care Behavioral Health Care Coordination Chronic Care Cost Related Immunizations Preventive Care 18
19 Total NCQA = 35 Total CMS/AHIP = NCQA-Only Measures 13 Measures In Both 9 AHIP-Only Core Set for PCMH/ACO NCQA Only (22) CMS/AHIP Only (9) 6 prevention measures 6 measures not e-specified 5 mental/behavioral health 2 measures are plan level 4 CVD/heart failure 1 measure is a survey (CAHPS) 4 Geriatrics 1 each in DM, Resp, Care Coord. 19
20 MIPS and APMs Are Not Snacks! 20
21 MACRA Proposed Rule Overview New 2-track Quality Payment Program Merit-Based Payment Incentive System MIPS: FFS + performance bonuses/penalties based on Quality, Resource Use, Clinical Practice Improvement & Advancing Care Information Advanced Alternative Payment Models APMs: Automatic 5% bonus for either 2-sided risk, performance-based pay, use of Certified EHRs & revenue/patient thresholds OR expanded CMMI demonstrations 21
22 Merit-Based Incentive Payment System (MIPS) FFS pay adjusted up or down based on: Clinical Quality Weight: 50% in 2019; 45% in 2020; 30% Resource Use Weight: 10% in 2019; 15% in 2020; 30% in Clinical Practice Improvement Activities (CPIAs) Weight: 15% - PCMH & PCSP get full credit Advancing Care Information (Meaningful Use) Weight: 25% 2017 performance determines 2019 pay Feedback reports July
23 Clinical Practice Improvement Activities NCQA PCMH/PCSPs get full CPIA credit Also other national, widely used programs (AAAHC, Joint Commission, URAC, Medicaid, CMMI demos) Commercial payer programs not included For PCSP, only NCQA s program qualifies Half CPIA credit for APM participation Non-PCMH/PCSP must report on individual CPIA activities likely to improve outcomes Cannot attest to being PCMH/PCSP Points based on medium vs. high CPIA importance 23
24 Slide from CMS Quality Payment Program Training Deck 24
25 Slide from CMS Quality Payment Program Training Deck 25
26 26
27 Recognition Redesign Timeline Pilots July Nov Design platform Quality measure data collection model Update PCMH standards Build/test new platform Test CQM collection Launch PCMH 2017 with new process and platform Transition additional recognition programs Expand measure collection 27
28 Recognition Redesign Timeline and 2015 Pilots July Nov Design platform Quality measure data collection model 2016 Update PCMH standards Build/test new platform Test CQM collection 2017 Launch PCMH 2017 with new process and platform MACRA Transition MIPS & additional APMs recognition programs Expand measure collection 28
29 Learn more Read about our PCMH redesign initiative blog.ncqa.org/pcmh Send us your thoughts Read about MACRA ncqa.org/macra Watch QualityTalks QualityTalks2015.com 29
30 PCMH Training in Memphis Introduction to PCMH: Foundational Concepts of the Medical Home November Memphis, TN Advanced PCMH: Mastering the Medical Home Transformation November 17 Memphis, TN See details and to register: 30
31 Questions For Internal Use Only Do Not Copy Do Not Distribute 31
NCQA Recognition Programs Redesign Work in Progress
NCQA Recognition Programs Redesign Work in Progress March 2016 Mina Harkins, MBA, BSMT, PCMH CCE NCQA Assistant Vice President Recognition Programs Policy and Resources Re-use without permission is prohibited
NCQA Measurement Strategy
NCQA Measurement Strategy Jennifer Lenz Assistant Vice President, NCQA Quality Solutions Group California California Association of Health Plans October 12, 2016 1 Topics 1. Data & Measure Strategy 2.
MIPS Collaborative: Clinical Practice Improvement Activities April 19, 2017 Francis R Colangelo, MD
MIPS Collaborative: Clinical Practice Improvement Activities April 19, 2017 Francis R Colangelo, MD Outline of Presentation Introduction Overview of MACRA/MIPS Clinical Practice Improvement Activities
The Patient-Centered Medical Home Model of Care
The Patient-Centered Medical Home Model of Care May 11, 2017 Louise Bryde Principal Presentation Outline Imperatives for Change Overview: What Is a Patient-Centered Medical Home? The Medical Neighborhood
The Merit-Based Incentive Payment System (MIPS) Survival Guide. August 11, 2016
The Merit-Based Incentive Payment System (MIPS) Survival Guide August 11, 2016 Speakers Nina Marshall, MSW, Senior Director, Policy and Practice Improvement, National Council for Behavioral Health Elizabeth
Strategic Implications & Conclusion
Kelly Court Chief Quality Officer Wisconsin Hospital Association Brian Vamstad Government Relations Consultant Gundersen Health System Overview and Key Takeaways of the Medicare Quality Payment Program
Here is what we know. Here is what you can do. Here is what we are doing.
With the repeal of the sustainable growth rate (SGR) behind us, we are moving into a new era of Medicare physician payment under the Medicare Access and CHIP Reauthorization Act (MACRA). Introducing the
Medical Home Recognition
Medical Home Recognition Erin Dormaier Transformation Support Services Manager, CHTS-IM, PCMH-CCE 2015 CORHIO All Rights Reserved CORHIO Proprietary Not For Redistribution 1 Agenda History of Medical Home
Kate Goodrich, MD MHS. Director, Center for Clinical Standards & Quality. Center for Medicare and Medicaid Services (CMS) May 6, 2016
Kate Goodrich, MD MHS Director, Center for Clinical Standards & Quality Center for Medicare and Medicaid Services (CMS) May 6, 2016 THE MEDICARE ACCESS & CHIP REAUTHORIZATION ACT OF 2015 Quality Payment
QUALITY PAYMENT PROGRAM YEAR 2 CY 2018 PROPOSED RULE Improvement Activities Component Reporting Requirements. No change.
QUALITY PAYMENT PROGRAM YEAR 2 CY 2018 PROPOSED RULE Improvement Activities Component Reporting Requirements Brief Synopsis: The Improvement Activities (IA) performance category will continue to comprise
Here is what we know. Here is what you can do. Here is what we are doing.
With the repeal of the sustainable growth rate (SGR) behind us, we are moving into a new era of Medicare physician payment under the Medicare Access and CHIP Reauthorization Act (MACRA). Introducing the
From Surviving to Thriving in the QPP World
From Surviving to Thriving in the QPP World Today s Objectives Brief MACRA Overview Where are we going?: Advanced Alternative Payment Models (APMs) Where are we now? Merit Incentive-Based Payment System
10/10/2017. Mythbusters: Primary Care Edition (Expanding Opportunities) Amina Abubakar, PharmD, AAHIVP Olivia bentley, PharmD, CFts, AAHIVP
Mythbusters: Primary Care Edition (Expanding Opportunities) Amina Abubakar, PharmD, AAHIVP Olivia bentley, PharmD, CFts, AAHIVP 1 Disclosures Amina Abubakar, PharmD, AAHIVP, RX Clinic Pharmacy and Olivia
CMS Quality Payment Program: Performance and Reporting Requirements
CMS Quality Payment Program: Performance and Reporting Requirements Session #QU1, February 19, 2017 Kristine Martin Anderson, Executive Vice President, Booz Allen Hamilton Colleen Bruce, Lead Associate,
MACRA Quality Payment Program
The American College of Surgeons Resources for the New Medicare Physician System Table of Contents Understanding the... 3 Navigating MIPS in 2017... 4 MIPS Reporting: Individuals or Groups... 6 2017: The
Practice Transformation Alignment: NYS PCMH Marcus Friedrich, MD, MBA, FACP Chief Medical Officer Office of Quality and Patient Safety NY State
Practice Transformation Alignment: NYS PCMH Marcus Friedrich, MD, MBA, FACP Chief Medical Officer Office of Quality and Patient Safety NY State Department of Health Marcus.Friedrich@health.ny.gov 2 Primary
Stage 3 and ACI s Relationship to Medicaid MU Massachusetts Medicaid EHR Incentive Program
Stage 3 and ACI s Relationship to Medicaid MU Massachusetts Medicaid EHR Incentive Program September 19 & 20, 2017 Today s presenters: Brendan Gallagher Thomas Bennett Agenda Stage 3 Meaningful Use (MU)
2017/2018. KPN Health, Inc. Quality Payment Program Solutions Guide. KPN Health, Inc. A CMS Qualified Clinical Data Registry (QCDR) KPN Health, Inc.
2017/2018 KPN Health, Inc. Quality Payment Program Solutions Guide KPN Health, Inc. A CMS Qualified Clinical Data Registry (QCDR) KPN Health, Inc. 214-591-6990 info@kpnhealth.com www.kpnhealth.com 2017/2018
MACRA Implementation: A Review of the Quality Payment Program
MACRA Implementation: A Review of the Quality Payment Program Neal Logue, Kirk Sadur Centers for Medicare and Medicaid Services, Region IX, September 15, 2017 Disclaimer This presentation was prepared
MACRA & Implications for Telemedicine. June 20, 2016
MACRA & Implications for Telemedicine June 20, 2016 Presentation Overview Introductions Deep Dive Into MACRA Implications for Telemedicine Questions Growth in Value-Based Care Over Next Two Years Growth
MACRA The shift to Value Based Care and Payment. Michael Munger, M.D., FAAFP
MACRA The shift to Value Based Care and Payment Michael Munger, M.D., FAAFP Current State Silos of Care Over Utilization Volume over Value Push Towards Value and Quality 85% Medicare Payments tied to quality
Using Patient-Centered Care to Maximize Clinician Payments Under MACRA
Using Patient-Centered Care to Maximize Clinician Payments Under MACRA Michael Barr, MD, MBA, MACP Executive Vice President Quality Measurement & Research Group NCQA Disclosure Statement No relevant financial
Quality Payment Program MIPS. Advanced APMs. Quality Payment Program
Proposed Rule: Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive under the Physician Fee Schedule, and Criteria for Physician-Focused Payment Models The Department
The Future of Physician Reimbursement
The Future of Physician Reimbursement EBG (PQRS-Quality Measures) yield Outcome Report Yield Increased Quality Yield Decreased Cost yield Increased Patient Satisfaction - CAHPS Consumer Assessment of Healthcare
MACRA, MIPS, and APMs What to Expect from all these Acronyms?!
MACRA, MIPS, and APMs What to Expect from all these Acronyms?! ACP Pennsylvania Council Meeting Saturday, December 5, 2015 Shari M. Erickson, MPH Vice President, Governmental Affairs & Medical Practice
Texas Medicaid Electronic Health Record (EHR) Incentive Program: Federally Qualified Health Centers (FQHCs)
Texas Medicaid Electronic Health Record (EHR) Incentive Program: Federally Qualified Health Centers (FQHCs) Julia Alejandre, Medicaid / CHIP Health IT Jason Phipps, Medicaid / CHIP Health IT July 20, 2012
Is HIT a Real Tool for The Success of a Value-Based Program?
Is HIT a Real Tool for The Success of a Value-Based Program? Sally Montes, MPH, RHIA, CCHP President, SM & Associates, Inc. smontes@sm-asociados.com (787) 306-1149 President, PR HFMA Chapter INTRODUCTION
2017 Transition Year Flexibility Improvement Activities Category Options
The Physicians Advocacy Institute s Medicare Quality Payment Program (QPP) Physician Education Initiative 2017 Transition Year Flexibility Improvement Activities Category Options 1 P a g e Ad MEDICARE
MIPS Scoring: Explanation and Estimation 2/7/2017 and 2/10/2017
CMS Transforming Clinical Practices Initiative and The Southern New England Practice Transformation Network (SNE PTN) MIPS 2017- Scoring: Explanation and Estimation 2/7/2017 and 2/10/2017 2 Review Determine
Understanding Medicare s New Quality Payment Program
Understanding Medicare s New Quality Payment Program Your introduction to MACRA and getting started with MIPS 1 Understanding Medicare s New Quality Payment Program 2016 Mingle Analytics. All Rights Reserved.
MACRA FLEXIBILITY & THE MACRA FINAL RULE. Compliance & Opportunity for Your Practice
MACRA FLEXIBILITY & THE MACRA FINAL RULE Compliance & Opportunity for Your Practice CONTENTS Overview... 5 What s new... 5 Advancing Care Information... 8 Major changes... 9 Proposed rule vs. final rule
Table 1: MIPS Exemptions. Exemption Individual Determination Group Determination Treatment under MIPS Already Finalized EXEMPTIONS Low-Volume
Exemptions and Special Status Determinations under the Merit-Based Incentive Payment System (MIPS): A Resource Guide for Existing and Proposed Policies The following tables provide information on exemptions
Background and Context:
Session Objectives: Practice Transformation: Preparing for a Value Based Purchasing Environment Susan Brown, MPH, CPHIMS May 2, 2016 Understand the timeline and impact of MACRA/MIPS on health care payment
ESSENTIAL STRATEGIES IN MEDI-CAL PAYMENT REFORM. Richard Popper, Director, Medicaid & Duals Strategy August 3, 2017
ESSENTIAL STRATEGIES IN MEDI-CAL PAYMENT REFORM Richard Popper, Director, Medicaid & Duals Strategy August 3, 2017 1 DISCLAIMER The enclosed materials are highly sensitive, proprietary and confidential.
MACRA and MIPS. How Medicare Meaningful Use and PQRS are Changing
MACRA and MIPS How Medicare Meaningful Use and PQRS are Changing Link to recorded session: https://attendee.gotowebinar.com/recording/1305549490878052097 Presenting Today: Molly Goodhart Joined Quatris
Are physicians ready for macra/qpp?
Are physicians ready for macra/qpp? Results from a KPMG-AMA Survey kpmg.com ama-assn.org Contents Summary Executive Summary 2 Background and Survey Objectives 5 What is MACRA? 5 AMA and KPMG collaboration
CMS Transforming Clinical Practices Initiative and. The Southern New England Practice Transformation Network (SNE PTN)
CMS Transforming Clinical Practices Initiative and The Southern New England Practice Transformation Network (SNE PTN) MIPS 2017- Selecting Performance Category Measures and Reporting Requirements 1/31/2017
Michelle Brunsen & Sandy Swallow May 25, , Telligen, Inc.
MIPS Survive and Thrive: Advancing Care Information Michelle Brunsen & Sandy Swallow May 25, 2017 2016, Telligen, Inc. Objectives Quality Payment Program Updates Advancing Care Information (ACI) Category
Russell B Leftwich, MD
Russell B Leftwich, MD Chief Medical Informatics Officer Office of ehealth Initiatives, State of Tennessee 1 Eligible providers and hospitals can receive incentives for meaningful use of certified EHR
2016 Requirements for the EHR Incentive Programs: EligibleProfessionals
2016 Requirements for the EHR Incentive Programs: EligibleProfessionals Vidya Sellappan Division of Health Information Technology Quality Measurement & Value-based Incentives Group Center for Clinical
Population Health and the Accelerating Leap to Outcomes-Based Reimbursement. Craig J. Wilson
Population Health and the Accelerating Leap to Outcomes-Based Reimbursement Craig J. Wilson Agenda / Goals Define Population Health Management Review emerging reimbursement landscape eg MACRA Review why
Maximizing Your Potential Under MIPS Oregon MACRA Playbook Conference
Maximizing Your Potential Under MIPS Oregon MACRA Playbook Conference June 22, 2017 Michael J. Sexton, MD Catherine I. Hanson, JD COI Disclosure To assure the highest quality of CME programming, the OMA
WHAT IT FEELS LIKE
PCMH and PCSP WHAT IT FEELS LIKE Presentation Outline Goals of the Patient Centered Medical Home and the Patient Centered Specialty Practice Identifying the Joint Principles Recognition Programs Standards
WELCOME. Kate Gainer, PharmD Executive Vice President and CEO Iowa Pharmacy Association
WHAT IS MACRA? WELCOME Kate Gainer, PharmD Executive Vice President and CEO Iowa Pharmacy Association WELCOME Anthony Pudlo, PharmD, MBA, BCACP Vice President of Professional Affairs Iowa Pharmacy Association
MIPS Checkpoint. Beth Hickerson Quality Improvement Advisor. PHA Lunch and Learn May 19, Value Driven. Health Care. Solutions.
MIPS Checkpoint Beth Hickerson Quality Improvement Advisor PHA Lunch and Learn May 19, 2017 Check Your MIPS Eligibility QPP.CMS.GOV 2 MIPS Category Weights Over Time : Quality Advancing Care Information
Disclaimer This webinar may be recorded. This webinar presents a sampling of best practices and overviews, generalities, and some laws.
Disclaimer This webinar may be recorded. This webinar presents a sampling of best practices and overviews, generalities, and some laws. This should not be used as legal advice. Itentive recognizes that
Health System Transformation, CMS Priorities, and the Medicare Access and CHIP Reauthorization Act
Health System Transformation, CMS Priorities, and the Medicare Access and CHIP Reauthorization Act Ashby Wolfe, MD, MPP, MPH Chief Medical Officer, Region IX Centers for Medicare and Medicaid Services
update An Inside Look Into the EHR Intersections of the Updated Patient-Centered Medical Home (PCMH) Care Model May 12, 2016
update An Inside Look Into the EHR Intersections of the Updated Patient-Centered Medical Home (PCMH) Care Model May 12, 2016 Agenda PCMH: 360 o PCMH to date o Evidence based results o Updated Standards:
Centers for Medicare and Medicaid CMS Updates. Christol Green, Anthem Inc.
Centers for Medicare and Medicaid CMS 2016-2017 Updates Christol Green, Anthem Inc. Agenda Topic Page Payment Models - BPCI 3 Sequestration 5 CPC+ Initiative 7 What is MACRA? 12 CMS Social Security Number
Agenda. Surviving the New Program Requirements and the Financial Penalties Under MIPS 9/9/2016. Steps to take to prepare for MIPS
Surviving the New Program Requirements and the Financial Penalties Under MIPS September 2016 Selena Hood Agenda Steps to take to prepare for MIPS Introduction and Evaluation of the Merit-Based Incentive
ACCOUNTABLE CARE ORGANIZATION & ALTERNATIVE PAYMENT MODEL SUMMIT
ACCOUNTABLE CARE ORGANIZATION & ALTERNATIVE PAYMENT MODEL SUMMIT The Centers for Medicare and Medicaid Services Kate Goodrich, MD MHS Director, Clinical Standards & Quality Chief Medical Officer 1 DISCLAIMERS
2016 MEANINGFUL USE AND 2017 CHANGES to the Medicare EHR Incentive Program for EPs. September 27, 2016 Kathy Wild, Lisa Sagwitz, and Joe Pinto
2016 MEANINGFUL USE AND 2017 CHANGES to the Medicare EHR Incentive Program for EPs September 27, 2016 Kathy Wild, Lisa Sagwitz, and Joe Pinto Agenda Meaningful Use (MU) in 2016 MACRA and MIPS (high level
Value-Based Psychiatric Care
Value-Based Psychiatric Care North Carolina Psychiatric Association Annual Meeting September 15, 2017 Grace E. Terrell, MD Mission: To be your medical home Vision: To be the model for physician-led health
Quality Payment Program Year 2: 2018 MIPS Participation. An Introductory Guide for CRNAs in 2018
Quality Payment Program Year 2: 2018 MIPS Participation An Introductory Guide for CRNAs in 2018 Quality Payment Program (QPP) The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) established
The MIPS Survival Guide
The MIPS Survival Guide The Definitive Guide for Surviving the Merit-Based Incentive Payment System TABLE OF CONTENTS 1 An Introduction to the Merit-Based Incentive Payment System (MIPS) 2 Survival Tip
Overview of Quality Payment Program
Overview of Quality Payment Program Policies for 2017 & 2018 Performance Years The Medicare program has transformed how it reimburses psychiatrists and other clinicians for providing services, under the
MIPS Program: 2018 Advancing Care Information Category
MIPS Program: 2018 Advancing Care Category The 2018 Quality Payment Program (QPP) Year Two final rule continues to implement the programs authorized under the Medicare and CHIP Reauthorization Act of 2015
The Quality Payment Program Overview Fact Sheet
Quality Payment Program The Quality Payment Program Overview Background On October 14, 2016, the Department of Health and Human Services (HHS) issued its final rule with comment period implementing the
CMS Priorities, MACRA and The Quality Payment Program
CMS Priorities, MACRA and The Quality Payment Program Ashby Wolfe, MD, MPP, MPH Chief Medical Officer, Region IX Centers for Medicare and Medicaid Services Presentation on behalf of HSAG November 16, 2016
Goals & Challenges for Outpatient Quality Directors. Quality HealthCare Consulting, LLC CEO: Jennifer O'Donnell, MHA, PCMH-CCE
Goals & Challenges for Outpatient Quality Directors Quality HealthCare Consulting, LLC CEO: Jennifer O'Donnell, MHA, PCMH-CCE Objectives Learn a practical way for Quality Directors to align Quality Measures
The Quality Payment Program: Overview & Roles and Responsibilities
The Quality Payment Program: Overview & Roles and Responsibilities National Tribal Health Conference Susy Postal DNP, RN-BC Chief Health Informatics Officer September 27, 2017 INDIAN HEALTH SERVICE / OFFICE
SVS QUALITY AND PERFORMANCE MEASURES COMMITTEE (QPMC) New Member Orientation
SVS QUALITY AND PERFORMANCE MEASURES COMMITTEE (QPMC) New Member Orientation 2017-2018 SVS QPMC Quality and Performance Measures Committee Policy and Advocacy Council (Chair Sean Roddy) Chair: Brad Johnson,
Quality Measurement and Reporting Kickoff
Quality Measurement and Reporting Kickoff All Shared Savings Program ACOs April 11, 2017 Sandra Adams, RN; Rabia Khan, MPH Division of Shared Savings Program Medicare Shared Savings Program DISCLAIMER
Transforming Health Care with Health IT
Transforming Health Care with Health IT Meaningful Use Stage 2 and Beyond Mat Kendall, Director of the Office of Provider Adoption Support (OPAS) March 19 th 2014 The Big Picture Better Healthcare Better
MACRA Frequently Asked Questions
Following the release of the Quality Payment Program Interim Final Rule, the American Medical Association (AMA) conducted numerous informational and training sessions for physicians and medical societies.
How CME is Changing: The Influence of Population Health, MACRA, and MIPS
How CME is Changing: The Influence of Population Health, MACRA, and MIPS Table of Contents Population Health: Definition and Use Case The Future of Population Health and Performance Improvement MACRA and
CMS EHR Incentive Programs in 2015 through 2017 Overview
CMS EHR Incentive Programs in 2015 through 2017 Overview March 1, 2016 Elisabeth Myers, Senior Policy Advisor, Center for Clinical Standards and Quality Jayne Hammen, Director, Division of Health Information
MACRA is Coming: Reimbursement for Quality and the Shift to Population-Based Care
MACRA is Coming: Reimbursement for Quality and the Shift to Population-Based Care AMERICAN NEUROLOGICAL ASSOCIATION October 17, 2017 Marc R. Nuwer, MD PhD Professor and Vice Chair UCLA Lyell K. Jones,
Dear Acting Administrator Slavitt,
June 27, 2016 Mr. Andy Slavitt, Acting Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services 200 Independence Avenue, S.W. Washington, D.C. 20201 Re: Merit-Based
New York State Department of Health Innovation Initiatives
New York State Department of Health Innovation Initiatives HCA Quality & Technology Symposium November 16 th, 2017 Marcus Friedrich, MD, MBA, FACP Chief Medical Officer Office of Quality and Patient Safety
Medicare Physician Payment Reform:
Medicare Physician Payment Reform: Implications and Options for Physicians and Hospitals Background The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) was signed into law on April 14, 2015.
Annual Reporting Requirements for PCMH Recognition Overview & Table Reporting Period: 4/3/ /31/2018
Annual Reporting s for PCMH Recognition Overview & Table Reporting Period: 4/3/2017 12/31/2018 Redesign Goals NCQA redesigned its PCMH Recognition program in April 2017 for practices to maintain an ongoing
QUALITY PAYMENT PROGRAM
NOTICE OF PROPOSED RULE MAKING Medicare Access and CHIP Reauthorization Act of 2015 QUALITY PAYMENT PROGRAM Executive Summary On April 27, 2016, the Department of Health and Human Services issued a Notice
The Patient Centered Medical Home Guidelines: A Tool to Compare National Programs
The Patient Centered Medical Home Guidelines: A Tool to Compare National Programs Medical Group Management Association (MGMA ) publications are intended to provide current and accurate information and
March Data Jam: Using Data to Prepare for the MACRA Quality Payment Program
March Data Jam: Using Data to Prepare for the MACRA Quality Payment Program Elizabeth Arend, MPH Quality Improvement Advisor National Council for Behavioral Health CMS Change Package: Primary and Secondary
Minnesota Department of Health (MDH) Health Care Homes (HCH) Initial Certification. Reviewed: 03/15/18
Minnesota Department of Health (MDH) Health Care Homes (HCH) Initial Certification Reviewed: 03/15/18 1 Learning Objectives 1. Describe the HCH legislative rule subpart criteria required for initial certification.
Leveraging the accredited CME system to simplify clinician participation in the Quality Payment Program:
December 16, 2016 Andrew Slavitt, MBA; Acting Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services 7500 Security Boulevard Baltimore, MD 21244-1850 Reference:
MIPS Deep Dive: 9 steps to Reporting. Sharon Phelps QPP Webinar Series Webinar 4 June 20, 2017
MIPS Deep Dive: 9 steps to Reporting Sharon Phelps QPP Webinar Series Webinar 4 June 20, 2017 HealthInsight Our business is redesigning health care systems for the better HealthInsight is a private, non-profit,
Decoding the QPP Year 2 Quality Measure Benchmarks and Deciles to Maximize Performance
Decoding the QPP Year 2 Quality Measure Benchmarks and s to Maximize Performance Leila Volinsky, MHA, MSN, RN, PCMH CCE, CPHQ Senior Program Administrator New England Regional Lead Quality Payment Program
Thriving in a Value Based Payment World
Thriving in a Value Based Payment World N.S. Damle MD MS FACP Senior/Managing Partner South County Internal Medicine Assistant Professor of Medicine, Alpert Medical School of Brown University Past Chairman,
2017 Transition Year Flexibility Advancing Care Information (ACI) Category Options
The Physicians Advocacy Institute s Medicare Quality Payment Program (QPP) Physician Education Initiative 2017 Transition Year Flexibility Advancing Care Information (ACI) Category Options Ad 1 P a g e
MACRA Fall into Place. By Stephanie Cecchini, CPC, CEMC, CHISP, AAPC Fellow, AAPC MACRA Prof
MACRA Fall into Place By Stephanie Cecchini, CPC, CEMC, CHISP, AAPC Fellow, AAPC MACRA Prof About the Presenter https://www.linkedin.com/in/stephaniececchini 2 Introduction Love it Hate it Don t know a
Quality Payment Program and Alternative Payment Models. Brian R. Bourbeau, MBA COA Administrators Network April 11, 2018
Quality Payment Program and Alternative Payment Models Brian R. Bourbeau, MBA COA Administrators Network April 11, 2018 Speaker Background Associate Director, Business Metrics & Analysis Clinical Affairs
MIPS (Merit-based Incentive Payment System) Clinical Practice Improvement Activities
MIPS (Merit-based Incentive Payment System) Clinical Practice Improvement Activities Today we will cover: 2 General review of the Quality Payment Programs as per the final rule. Who is Eligible/Exceptions
Moving MACRA-MIPS Forward: Role by Role
Moving MACRA-MIPS Forward: Role by Role Todd Searls, President & Founder 10/24/2017 Wanda Kelley, VP Clinical Informatics Rhonda Luetkenhaus, Manager Quality Programs 888.848.9876 info@phc.guru www.praesidioconsulting.com
IMPLICATIONS OF THE 2018 FINAL RULE FOR SOLO PRACTITIONERS AND SMALL GROUP PRACTICES
1 QUALITY PAYMENT PROGRAM SMALL UNDERSERVED RURAL SUPPORT (QPP SURS) WEBINAR FEBRUARY 20, 7:00 PM ET AND FEBRUARY 22, 11:00 AM ET IMPLICATIONS OF THE 2018 FINAL RULE FOR SOLO PRACTITIONERS AND SMALL GROUP
MACRA MACRA MACRA 9/30/2015. From the Congress: A New Medicare Payment System. The Future of Medicare: A Move Toward Value Driven Healthcare W20.
W20.8XXA The Future of Medicare: A Move Toward Value Driven Healthcare Emily L. Graham, RHIA, CCS-P VP, Regulatory Affairs, Hart Health Strategies Consultant, Coalition of State Rheumatology Organizations
Medicare & Medicaid EHR Incentive Program Specifics of the Program for Hospitals. August 11, 2010
Medicare & Medicaid EHR Incentive Program Specifics of the Program for Hospitals August 11, 2010 Today s Session This training will cover the following topics: EHR Incentive Programs a Background Who Is
Submitted electronically:
Mr. Andy Slavitt Acting Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services Attention: CMS-5517-FC P.O. Box 8013 7500 Security Boulevard Baltimore, MD 21244-8013
June 27, Dear Secretary Burwell and Acting Administrator Slavitt,
June 27, 2016 The Honorable Sylvia Matthews Burwell Secretary, U.S. Department of Health and Human Services 200 Independence Avenue, SW Washington, D.C. 20201 Mr. Andy Slavitt Acting Administrator, Centers
Merit-Based Incentive Payment System: 2018 Performance Year
Knowledge Brief Merit-Based Incentive Payment System: Performance Year The Merit-based Incentive Payment System (MIPS) impacts the 2020 Medicare Part B payment for billed visits in calendar year. MIPS
Statement for the Record. American College of Physicians. U.S. House Committee on Ways and Means Subcommittee on Health
Statement for the Record American College of Physicians U.S. House Committee on Ways and Means Subcommittee on Health Hearing on Implementation of MACRA s Physician Payment Policies March 21, 2018 The
Welcome to. Primary Care and Public Health: Linking Public Health and Advanced Primary Care to Improve Outcomes
Welcome to ASTHO s Delivery and Payment Reform Technical Assistance Call Series Primary Care and Public Health: Linking Public Health and Advanced Primary Care to Improve Outcomes Presented by ASTHO and
Understanding PQRS and the Value-Based Modifier: CMS Plan to Achieve High Value Care through Transforming Payment Systems
Understanding PQRS and the Value-Based Modifier: CMS Plan to Achieve High Value Care through Transforming Payment Systems Dr. Ashby Wolfe, Chief Medical Officer Centers for Medicare and Medicaid Services,
MIPS/APM Proposed Rule Summary On Monday, May 9, 2016 the Centers for Medicare and Medicaid Services (CMS) published in the Federal Register the
MIPS/APM Proposed Rule Summary On Monday, May 9, 2016 the Centers for Medicare and Medicaid Services (CMS) published in the Federal Register the proposed criteria for the Quality Payment Program as prescribed
Alternative Payment Models and Health IT
Alternative Payment Models and Health IT Health DataPalooza Preconference May 8, 2016 Kelly Cronin, MS, MPH, Director, Office of Care Transformation, ONC/HHS HHS Goals for Medicare Payment Reform In January
Medicare & Medicaid EHR Incentive Programs. Stage 2 Final Rule Travis Broome AMIA
Medicare & Medicaid EHR Incentive Programs Stage 2 Final Rule Travis Broome AMIA 9-20-2012 What is in the Rule Changes to Stage 1 of meaningful use Stage 2 of meaningful use New clinical quality measures
December 19, Dear Acting Administrator Slavitt:
December 19, 2016 Andy Slavitt Acting Administrator Centers for Medicare and Medicaid Services U.S. Department of Health and Human Services Attn: CMS-5517-FC Room 445 G, Hubert H. Humphrey Building 200
INTRODUCTION TO POPULATION HEALTH. Kathy Whitmire, Vice President
INTRODUCTION TO POPULATION HEALTH Kathy Whitmire, Vice President 1 Learning Objectives 1. Provide an overall framework for population health 2. Allow clinics to understand why population health is important
Thank You to Our Sponsor!
AMCP Webinar Emerging Physician Payment Models: What Does it Mean for AMCP Members and Medication Management? April 19, 2017 Thank You to Our Sponsor! 1 Disclaimer Organizations may not re use material