Institute for Healthcare Information Technology IHIT Voice-Of- Health IT in Georgia. December 5, 2016

Size: px
Start display at page:

Download "Institute for Healthcare Information Technology IHIT Voice-Of- Health IT in Georgia. December 5, 2016"

Transcription

1 Institute for Healthcare Information Technology IHIT Voice-Of- Health IT in Georgia December 5, 2016

2 Why is Health IT Important? Federal Initiatives since 2004 to encourage the adoption and implementation of electronic health records (EHR) Changes in the Healthcare Delivery Reimbursement Model Mandatory Quality Payment Program for Medicare commences on January 1, 2017

3 Two Payment Models=QPP Merit-based Incentive Payment System (MIPS) Providers are scored on 3 and then 4 metrics to create a Composite Score Providers Reimbursement will go up or down depending upon performance when compared with peers Advanced Alternative Payment Model Must be a Qualified Provider Bonus Payment of 5%; and Not subject to MIPS

4 Health IT Is Part of the Healthcare Delivery System Solution Health IT is a critical component to: 1. Provide care; 2. Coordinate care with other providers; 3. Report on the quality metrics to achieve reimbursement. Access to Care and Improved patient outcomes as are maximized through Health IT

5 What does it mean for Georgia?

6 Health IT = Economic Development $4Billion in Revenues from Health IT companies in Georgia (Health Informatics Magazine 2014-Metro Atlanta Chamber) Employs Approximately 16,000 People (Health Informatics Magazine 2014-Metro Atlanta Chamber) 4,757 Healthcare IT jobs available in Georgia (IHIT December 2014 Report)

7 I-75 I-85 I-285 I-285 I-20 I-20 Hartsfield-Jackson Atlanta International Airport I-85 I-75

8 Factors Impacting Growth Trained Workforce Curriculum Recruitment/Retention Connectivity Interoperability of Health Records Broadband/internet/secure transmissions Cybersecurity Security Threats Ransomware Clinical Data Analytics Value Based Reimbursement Quality Reporting

9 Barriers to Access of Care Transportation Rural Areas Financial Feasibility Lack of Available Providers Physician Shortage Licensure Restrictions Lack of Specialists Connectivity Technology Needs Interoperability of Health Records

10 Information Technology Needs The top ranking order of information technology needs are: Computer Programmers / Interface Developers. Trained staff on IT System Computer Programmers / Interface Developers Trained Staff on IT System Security and Privacy Experts Connectivity and Broadband access 10

11 Georgia s Opportunities Address Lack of Access to Healthcare Services Expand and Enhance the Use of Telemedicine Licensure Rules Reimbursement for Telemedicine Services Access to Providers Evaluate and expand the scope of practice for independent practitioners Utilize Technology to communicate among Providers Fully Develop and Educate a Trained Workforce in Georgia Promote the Health IT Alliance, a partnership of the University System of Georgia and the Technical College System of Georgia to work with IHIT to develop programs that address the current work force needs Expand and Develop Funding to Support Scholarships Incentivize Investment in Georgia Companies and Expand Funding Opportunities State Funding Models Tax Credits

12 IHIT IHIT was founded for the purpose of connecting resources for the advancement of healthcare through technology in a way that has not yet been achieved elsewhere. IHIT plays a unique role in this coordination by leveraging the strength of the Healthcare IT industry within Georgia and the Southeastern U.S. to provide economic development and improve access and the quality of care. IHIT is a resource to provide research, education and workshops to coordinate the providers, payers, consumers and Health IT companies together to address challenges and optimize the opportunities to support economic development and the growth of Health IT in the State. Voice-Of- Health IT in Georgia Contact Information: info@instituteforhealthcareit.org, or visit

American Recovery and Reinvestment Act What s in it for MN Rural Health?

American Recovery and Reinvestment Act What s in it for MN Rural Health? American Recovery and Reinvestment Act What s in it for MN Rural Health? Rural Health Advisory Committee May 19, 2009 Karen Welle, Asst Director, Office of Rural Health and Primary Care Liz Carpenter,

More information

Overview of Federal Stimulus Funds Available for HIT. Gerry Hinkley

Overview of Federal Stimulus Funds Available for HIT. Gerry Hinkley Overview of Federal Stimulus Funds Available for HIT Gerry Hinkley gerryhinkley@dwt.com Overview $2B to the Office of the National Coordinator for Health IT $20M to NIST for R&D program $300M for health

More information

Background and Context:

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

More information

How CME is Changing: The Influence of Population Health, MACRA, and MIPS

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

More information

From Surviving to Thriving in the QPP World

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

More information

American Recovery and Reinvestment Act of 2009 Overview

American Recovery and Reinvestment Act of 2009 Overview American Recovery and Reinvestment Act of 2009 Overview Thursday, April 29 th Internet2 Healthcare Conference Crystal City, Virginia Neal Neuberger, Executive Director The Mood in Washington, D.C. - 2009

More information

Michigan Primary Care Association

Michigan Primary Care Association Michigan Primary Care Association Improving Outcomes Finance & Quality through Integrated Information Conference June 2-3, 2016 Shanty Creek Resorts Bellaire, MI Definition and Purpose HRSA s Health Center

More information

WHITE PAPER. Taking Meaningful Use to the Next Level: What You Need to Know about the MACRA Advancing Care Information Component

WHITE PAPER. Taking Meaningful Use to the Next Level: What You Need to Know about the MACRA Advancing Care Information Component Taking Meaningful Use to the Next Level: What You Need to Know Table of Contents Introduction 1 1. ACI Versus Meaningful Use 2 EHR Certification 2 Reporting Periods 2 Reporting Methods 3 Group Reporting

More information

Transforming Clinical Care: Why Optimization of Clinical Systems Can t Wait

Transforming Clinical Care: Why Optimization of Clinical Systems Can t Wait Transforming Clinical Care: Why Optimization of Clinical Systems Can t Wait A White Paper March 2016 Impact Advisors LLC 400 E. Diehl Road Suite 190 Naperville IL 60563 1-800-680-7570 Impact-Advisors.com

More information

The Healthcare Roundtable

The Healthcare Roundtable The Healthcare Roundtable MACRA Update Jayme R. Matchinski Greensfelder, Hemker & Gale, P.C. April 7, 2017 New Orleans, Louisiana This presentation and outline are limited to a discussion of general principles

More information

Spring User Conference May Sandestin, FL Detailed Agenda

Spring User Conference May Sandestin, FL Detailed Agenda Day One: Monday May 16, 2016 3 6 p.m. Conference Registration 5 6 p.m. Customer Welcome and Orientation for First-time Conference Attendees 6 8 p.m. Welcome Reception Day Two: Tuesday May 17, 2016 7 a.m.

More information

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. 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

More information

Overview of CMS HIT Initiatives. Kelly Cronin Senior Advisor to the Administrator Centers for Medicare and Medicaid Services September 2005

Overview of CMS HIT Initiatives. Kelly Cronin Senior Advisor to the Administrator Centers for Medicare and Medicaid Services September 2005 Overview of CMS HIT Initiatives Kelly Cronin Senior Advisor to the Administrator Centers for Medicare and Medicaid Services September 2005 A Variation Problem Dartmouth Atlas of Healthcare Decade of HIT:

More information

The Influence of Health Policy on Clinical Practice. Dr. Kim Kuebler, DNP, APRN, ANP-BC Multiple Chronic Conditions Resource Center

The Influence of Health Policy on Clinical Practice. Dr. Kim Kuebler, DNP, APRN, ANP-BC Multiple Chronic Conditions Resource Center The Influence of Health Policy on Clinical Practice Dr. Kim Kuebler, DNP, APRN, ANP-BC Multiple Chronic Conditions Resource Center Disclaimer Director: Multiple Chronic Conditions Resource Center www.multiplechronicconditions.org

More information

Here is what we know. Here is what you can do. Here is what we are doing.

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

More information

Draft Ohio Primary Care Workforce Plan

Draft Ohio Primary Care Workforce Plan Draft Ohio Primary Care Workforce Plan INTRODUCTION The Ohio Department of Health Primary Care Office and collaborators from across the state engaged in a four-month planning process to begin addressing

More information

INTRODUCTION TO POPULATION HEALTH. Kathy Whitmire, Vice President

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

More information

Describe the process for implementing an OP CDI program

Describe the process for implementing an OP CDI program 1 Outpatient CDI: The Marriage of MACRA and HCCs Marion Kruse, RN, MBA Founding Partner LYM Consulting Columbus, OH Learning Objectives At the completion of this educational activity, the learner will

More information

CMS Quality Payment Program: Performance and Reporting Requirements

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,

More information

The American Recovery and Reinvestment Act: Incentivizing Investments in Healthcare

The American Recovery and Reinvestment Act: Incentivizing Investments in Healthcare The American Recovery and Reinvestment Act: Incentivizing Investments in Healthcare AT&T, Healthcare, and You Overview The American Recovery and Reinvestment Act of 2009 (ARRA) allocated more than $180

More information

The Quality Payment Program Overview Fact Sheet

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

More information

MACRA Quality Payment Program

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

More information

The MIPS Survival Guide

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

More information

Rodney M. Wiseman, DO, FACOFP dist. ACOFP President

Rodney M. Wiseman, DO, FACOFP dist. ACOFP President November 20, 2017 VIA ELECTRONIC SUBMISSION (CMMI_NewDirection@cms.hhs.gov) Seema Verma, Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMMI Request

More information

Department of Health Care Services Integrating Telehealth Efforts. Joanne Peschko, MBA Health Program Specialist

Department of Health Care Services Integrating Telehealth Efforts. Joanne Peschko, MBA Health Program Specialist Department of Health Care Services Integrating Telehealth Efforts Joanne Peschko, MBA Health Program Specialist 1 Telehealth Programs Public Hospital Redesign and Incentives in Medi-Cal (PRIME) Managed

More information

Connected Care Partners

Connected Care Partners Connected Care Partners Our Discussion Today Introducing the Connected Care Partners CIN What is a Clinically Integrated Network (CIN) and why is the time right to join the Connected Care Partners CIN?

More information

Physician-led ACOs: Opportunities & Challenges

Physician-led ACOs: Opportunities & Challenges Physician-led ACOs: Opportunities & Challenges Farzad Mostashari, MD Founder/CEO, Aledade Inc, former National Coordinator for Health Information Technology May 13, 2015 Physician Webinar Series #16 Welcome

More information

Overview of Quality Payment Program

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

More information

OCTOBER 19, 2017 GOING ABOVE AND BEYOND THE EHR TO OPTIMIZE QPP PERFORMANCE

OCTOBER 19, 2017 GOING ABOVE AND BEYOND THE EHR TO OPTIMIZE QPP PERFORMANCE OCTOBER 19, 2017 GOING ABOVE AND BEYOND THE EHR TO OPTIMIZE QPP PERFORMANCE ABCs of the QPP Panel BETH HOUCK, MBA Vice President, Client Services, SA Ignite RON ROCKWOOD EHR Clinic Coordinator, Jefferson

More information

Medicare & Medicaid EHR Incentive Program. Betsy L. Thompson, MD, DrPH EHR Summit October 4, 2010

Medicare & Medicaid EHR Incentive Program. Betsy L. Thompson, MD, DrPH EHR Summit October 4, 2010 Medicare & Medicaid EHR Incentive Program Betsy L. Thompson, MD, DrPH EHR Summit October 4, 2010 1 Overview Background and Policy Context EHR Incentive Program Basics Who is Eligible to Participate How

More information

Steps toward Sustainability with the second year of the Quality Payment Program

Steps toward Sustainability with the second year of the Quality Payment Program Steps toward Sustainability with the second year of the Quality Payment Program Deanna Graham, QI Consultant, Qualis Health March 27, 2018 Speaker Deanna Graham QI Principal Qualis Health 2 Qualis Health

More information

Montefiore Hudson Valley Collaborative

Montefiore Hudson Valley Collaborative Montefiore Hudson Valley Collaborative DSRIP Application As submitted to New York State Department of Health on December 22, 2014 Succinctly explain the identified goals and objectives of the PPS, and

More information

MACRA-Impacts on Primary

MACRA-Impacts on Primary MACRA-Impacts on Primary Care Providers and Practices Jennifer Bell, MS, Chamber Hill Strategies Mara McDermott, JD, CAPG Shari Erickson, MPH (Moderator), American College of Physicians Macaran Baird,

More information

Creating Quality Improvement and Incentive Platforms in the Safety Net 2009 Pay for Performance Summit

Creating Quality Improvement and Incentive Platforms in the Safety Net 2009 Pay for Performance Summit Creating Quality Improvement and Incentive Platforms in the Safety Net 2009 Pay for Performance Summit Presented by: Julie Murchinson, Manatt Health Solutions Jonah Frohlich, California HealthCare Foundation

More information

The American Recovery and Reinvestment Act HITECH Act

The American Recovery and Reinvestment Act HITECH Act The American Recovery and Reinvestment Act HITECH Act February 2010 Your eclinicalworks Source www.clinicinstall.com 800-319-3190 info@clinicinstall.com eclinicalworks is a leader in ambulatory clinical

More information

Medicaid and HIT: EHR s s for Medicaid Providers

Medicaid and HIT: EHR s s for Medicaid Providers Medicaid and HIT: EHR s s for Medicaid Providers National Medicaid Congress Christine H. Nye, Director Agency for Health Care Administration nyec@ahca.myflorida.com Better Health Care for All Floridians

More information

Population Health Management. Ashley Rhude RHIA, CHTS-IM HIT Practice Advisor

Population Health Management. Ashley Rhude RHIA, CHTS-IM HIT Practice Advisor Population Health Management Ashley Rhude RHIA, CHTS-IM HIT Practice Advisor Mission of OFMQ OFMQ is a not-for-profit, consulting company dedicated to advancing healthcare quality. Since 1972, we ve been

More information

KPMG Digital Health Pulse April 2017

KPMG Digital Health Pulse April 2017 KPMG Digital Health Pulse 2017 April 2017 Research purpose and design To identify key perceptions about the pace of digital health adoption and key challenges to implementing virtual care programs at hospitals

More information

ACCOUNTABLE CARE ORGANIZATION & ALTERNATIVE PAYMENT MODEL SUMMIT

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

More information

RED SIGNAL REPORTSM RADIOLOGY. August 2018 Vol. 1 No. 1. Claims Data Signals & Solutions to Reduce Risks and Improve Patient Safety.

RED SIGNAL REPORTSM RADIOLOGY. August 2018 Vol. 1 No. 1. Claims Data Signals & Solutions to Reduce Risks and Improve Patient Safety. RED SIGNAL REPORTSM August 2018 Vol. 1 No. 1 Claims Data Signals & Solutions to Reduce Risks and Improve Patient Safety. RADIOLOGY MEDICAL LIABILITY INSURANCE BUSINESS ANALYTICS RISK MANAGEMENT & EDUCATION

More information

Practice Transformation Networks

Practice Transformation Networks Practice Transformation Networks The project described was supported by Funding Opportunity Number CMS-1L1-15-003 from the U. S. Department of Health & Human Services, Centers for Medicare and Medicaid

More information

Osteopathic Advocacy: Partnering to Advance Sound Health Policy. Nicholas Schilligo, MS Associate Vice President, State Government Affairs

Osteopathic Advocacy: Partnering to Advance Sound Health Policy. Nicholas Schilligo, MS Associate Vice President, State Government Affairs Osteopathic Advocacy: Partnering to Advance Sound Health Policy Nicholas Schilligo, MS Associate Vice President, State Government Affairs Our Work Work with a variety of stakeholders to promote AOA policies

More information

Center for Health and Technology Telehealth Education Program. Executive Overview

Center for Health and Technology Telehealth Education Program. Executive Overview Executive Overview 1. Technology-Enabled Health Understand the rationale for the use of advanced IT in healthcare Identify elements of a technology-enabled health care system Learn of the legal, regulatory

More information

LEVERS FOR CHANGE TO PREPARE THE FUTURE HEALTHCARE WORKFORCE

LEVERS FOR CHANGE TO PREPARE THE FUTURE HEALTHCARE WORKFORCE LEVERS FOR CHANGE TO PREPARE THE FUTURE HEALTHCARE WORKFORCE REPORTING BACK 1. What are actionable steps that can be taken to move this work forward? 2. Which stakeholders need to be involved in these

More information

The Connected Point of Care Ecosystem: A Solid Foundation for Value-Based Care

The Connected Point of Care Ecosystem: A Solid Foundation for Value-Based Care Includes Suggestions for Leveraging Improved BP Measurements to Achieve Quality Metrics Midmark White Paper The Connected Point of Care Ecosystem: A Solid Foundation for Value-Based Care Introduction This

More information

Passage of Medicare Access and CHIP Reauthorization Act of 2015 (MACRA): The Doc Fix

Passage of Medicare Access and CHIP Reauthorization Act of 2015 (MACRA): The Doc Fix April, 2015 Passage of Medicare Access and CHIP Reauthorization Act of 2015 (MACRA): The Doc Fix Author: Annemarie Wouters, Senior Advisor The President has signed into law the bipartisan bill H.R. 2,

More information

Virtual Group Participation Overview Fact Sheet

Virtual Group Participation Overview Fact Sheet Virtual Group Participation Overview Fact Sheet Starting on January 1, 2017, eligible clinicians began participation in the Quality Payment Program in one of two ways: Merit-based Incentive Payment System

More information

Medicare Physician Payment Reform:

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.

More information

Medicare Quality Payment Program: Deep Dive FAQs for 2017 Performance Year Hospital-Employed Physicians

Medicare Quality Payment Program: Deep Dive FAQs for 2017 Performance Year Hospital-Employed Physicians Medicare Quality Payment Program: Deep Dive FAQs for 2017 Performance Year Hospital-Employed Physicians This document supplements the AMA s MIPS Action Plan 10 Key Steps for 2017 and provides additional

More information

Frequently Asked Questions

Frequently Asked Questions Frequently Asked Questions What is the Compass Practice Transformation Network (Compass PTN)? The Compass Practice Transformation Network (Compass PTN) was founded by the Iowa Healthcare Collaborative

More information

Examining the Differences Between Commercial and Medicare ACO Models

Examining the Differences Between Commercial and Medicare ACO Models Examining the Differences Between Commercial and Medicare ACO Models Michelle Copenhaver December 10, 2015 Agenda 1 Understanding Accountable Care Organizations 2 Moving to Accountable Care: Enhancing

More information

Definition of Meaningful Use of Certified EHR Technology for Hospitals Approved by the HIMSS Board of Directors April 24, 2009

Definition of Meaningful Use of Certified EHR Technology for Hospitals Approved by the HIMSS Board of Directors April 24, 2009 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 Definition of Meaningful Use of Certified EHR Technology for Hospitals Approved by

More information

Moving MACRA-MIPS Forward: Role by Role

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

More information

UnitedHealth Center for Health Reform & Modernization September 2014

UnitedHealth Center for Health Reform & Modernization September 2014 Health Reform & Modernization September 2014 2014 UnitedHealth Group. Any use, copying or distribution without written permission from UnitedHealth Group is prohibited. Overview Why Focus on Primary Care?

More information

How to Improve HEDIS Reporting Among Providers and Improve Your Health Plan Rankings

How to Improve HEDIS Reporting Among Providers and Improve Your Health Plan Rankings How to Improve HEDIS Reporting Among Providers and Improve Your Health Plan Rankings Introduction In today s value-focused market, health plan rankings, such as those calculated by the National Committee

More information

Value-Based Reimbursements are Here: Are you Ready?

Value-Based Reimbursements are Here: Are you Ready? Value-Based Reimbursements are Here: Are you Ready? White Paper ELLIS MAC KNIGHT, MD Senior Vice President/CMO Published by Becker s Hospital Review April 2016 White Paper Value-Based Reimbursements are

More information

The Physician s Guide to Telemedicine in 2018

The Physician s Guide to Telemedicine in 2018 More Than A Great EHR The Physician s Guide to Telemedicine in 2018 The Physician s Guide to Adding Telemedicine to your Practice 2018 Bizmatics, Inc. Page 1 Table of Contents Introduction to Telemedicine...3

More information

ACO: Ready or Not? Presented by: Robert C. Tennant Vice President. May 10, 2012

ACO: Ready or Not? Presented by: Robert C. Tennant Vice President. May 10, 2012 ACO: Ready or Not? Presented by: Robert C. Tennant Vice President May 10, 2012 About Health Directions Founded in 1985 as a Management Services Organization ( MSO ) for a South Chicago health system Evolved

More information

Population Health. Collaborative Care. One interoperable platform. NextGen Care

Population Health. Collaborative Care. One interoperable platform. NextGen Care Population Health. Collaborative Care. One interoperable platform. NextGen Care We ve become very proactive in identifying at-risk patients and getting them in our door before they get sick. Our physicians

More information

UPDATED WITH FINAL RULE NOVEMBER 11, Preparing for Success With MACRA

UPDATED WITH FINAL RULE NOVEMBER 11, Preparing for Success With MACRA UPDATED WITH FINAL RULE NOVEMBER 11, 2016 G A M E C H A N G E R : Preparing for Success With MACRA Overview The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) dramatically impacts the way

More information

Minnesota Community Health Worker Project

Minnesota Community Health Worker Project Minnesota Community Health Worker Project Presentation Objectives Development of Partnership Development of CHW Curriculum Development of Policy Role of CHWs in MN Project Outcomes Minnesota CHW Project

More information

Midmark White Paper The Connected Point of Care Ecosystem: A Solid Foundation for Value-Based Care

Midmark White Paper The Connected Point of Care Ecosystem: A Solid Foundation for Value-Based Care Midmark White Paper The Connected Point of Care Ecosystem: A Solid Foundation for Value-Based Care Introduction This white paper examines how new technologies are creating a fully connected point of care

More information

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 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

More information

THE BUSINESS OF PEDIATRICS: BETTER CARE = BETTER PAYMENT. 19 th CNHN Pediatric Practice Management Seminar Thursday, December 6, 2016

THE BUSINESS OF PEDIATRICS: BETTER CARE = BETTER PAYMENT. 19 th CNHN Pediatric Practice Management Seminar Thursday, December 6, 2016 THE BUSINESS OF PEDIATRICS: BETTER CARE = BETTER PAYMENT 19 th CNHN Pediatric Practice Management Seminar Thursday, December 6, 2016 SMALLER VS BIGGER? WHAT PRACTICE SIZE IS JUST RIGHT? Mark Weissman,

More information

Health Information Exchange and Telehealth: Opportunities for Integration!

Health Information Exchange and Telehealth: Opportunities for Integration! Health Information Exchange and Telehealth: Opportunities for Integration! Broadband Telemedicine Summit May 20, 2013 Laura Zaremba, Director Governor s Office of Health Information Technology Illinois

More information

Value-Based Payments 101: Moving from Volume to Value in Behavioral Health Care

Value-Based Payments 101: Moving from Volume to Value in Behavioral Health Care Value-Based Payments 101: Moving from Volume to Value in Behavioral Health Care Nina Marshall, MSW Senior Director, Policy and Practice Improvement NinaM@TheNationalCouncil.org Bill Hudock Senior Public

More information

Clinically Focused. Outcomes Oriented. Technology Driven. Chronic Care Management. eqguide. (CPT Codes 99490, 99487, 99489)

Clinically Focused. Outcomes Oriented. Technology Driven. Chronic Care Management. eqguide. (CPT Codes 99490, 99487, 99489) Clinically Focused. Outcomes Oriented. Technology Driven. 2017 Chronic Care Management eqguide (CPT Codes 99490, 99487, 99489) www.eqhs.org Table of Contents 01 State of Population Health and Chronic Care

More information

CMS: NOW AND LATER. AUGUST 19, 2016 Ryan E. Spikes, RN BSN, CHTS-IM/PW, CHTS, PCMH

CMS: NOW AND LATER. AUGUST 19, 2016 Ryan E. Spikes, RN BSN, CHTS-IM/PW, CHTS, PCMH CMS: NOW AND LATER AUGUST 19, 2016 Ryan E. Spikes, RN BSN, CHTS-IM/PW, CHTS, PCMH KEY TOPICS 2016 Meaningful Use Requirements What is MACRA? Who is Eligible? What is MIPS? How will Clinicians be Scored?

More information

5 Ways to Increase Your Practice s Productivity

5 Ways to Increase Your Practice s Productivity Billing & Reimbursement Revenue Cycle Management 5 Ways to Increase Your Practice s Productivity Billing and Reimbursement for Physician Offices, Ambulatory Surgery Centers and Hospitals Billings & Reimbursements

More information

Here is what we know. Here is what you can do. Here is what we are doing.

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

More information

Transitioning to a Value-Based Accountable Health System Preparing for the New Business Model. The New Accountable Care Business Model

Transitioning to a Value-Based Accountable Health System Preparing for the New Business Model. The New Accountable Care Business Model Transitioning to a Value-Based Accountable Health System Preparing for the New Business Model Michael C. Tobin, D.O., M.B.A. Interim Chief medical Officer Health Networks February 12, 2011 2011 North Iowa

More information

Physician Compensation From Volume to Value

Physician Compensation From Volume to Value Physician Compensation From Volume to Value Venson Wallin Managing Director BDO October 9, 2015 Venson Wallin - BDO Venson Wallin is a Managing Director in BDO Consulting, LLC and is the National Healthcare

More information

QUALITY PAYMENT PROGRAM

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

More information

ACOs, QPP, and VBP: Oh MI! Flex Reverse Site Visit July 17, 2018

ACOs, QPP, and VBP: Oh MI! Flex Reverse Site Visit July 17, 2018 ACOs, QPP, and VBP: Oh MI! Flex Reverse Site Visit July 17, 2018 Rural Health Value Vision: To build a knowledge base through research, practice, and collaboration that helps create high performance rural

More information

Rural and Independent Primary Care.

Rural and Independent Primary Care. Rural and Independent Primary Care www.caravanhealth.com Agenda 2015 Results from Rural ACO Participants Fundamental population health programs. Overview of additional rural value-based payments Opportunities

More information

INTEGRATING CHRONIC CARE MANAGEMENT INTO COMMUNITY PHARMACY PRACTICE

INTEGRATING CHRONIC CARE MANAGEMENT INTO COMMUNITY PHARMACY PRACTICE INTEGRATING CHRONIC CARE MANAGEMENT INTO COMMUNITY PHARMACY PRACTICE ACPE UAN: 0107-9999-17-101-L04-P 0.1 CEU/1.0 hr Activity Type: Knowledge-Based Learning Objectives for Pharmacists: Upon completion

More information

WELCOME. Kate Gainer, PharmD Executive Vice President and CEO Iowa Pharmacy Association

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

More information

Advanced Use of Health Information Technology to Support New Models of Care

Advanced Use of Health Information Technology to Support New Models of Care AMERICAN HOSPITAL ASSOCIATION ANNUAL SURVEY IT SUPPLEMENT BRIEF #4 JULY 2018 Advanced Use of Health Information Technology to Support New Models of Care A growing number of hospitals and health systems

More information

Optum Anesthesia. Completely integrated anesthesia information management system

Optum Anesthesia. Completely integrated anesthesia information management system Optum Anesthesia Completely integrated anesthesia information management system 2 Completely integrated anesthesia information management system Optum Anesthesia Information Management System (AIMS) helps

More information

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 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

More information

2017 House of Delegates Report of the Policy Committee

2017 House of Delegates Report of the Policy Committee 2017 House of Delegates Report of the Policy Committee Patient Access to Pharmacist-Prescribed Medications Pharmacists Role within Value-Based Payment Models Pharmacy Performance Networks Committee Members

More information

Telehealth: Overcoming the challenges of implementing innovative health care solutions

Telehealth: Overcoming the challenges of implementing innovative health care solutions Telehealth: Overcoming the challenges of implementing innovative health care solutions NRTRC 5 TH ANNUAL CONFERENCE MARCH 22, 2016 ROKI CHAUHAN, MD, FAAFP Disclaimer 2 The material presented here is being

More information

Why SGI Contributes $91.4 billion annually to the state s

Why SGI Contributes $91.4 billion annually to the state s Michigan s Food & Agriculture Industry Strategic Growth Initiative (SGI) Michigan Food and Agriculture Industry Why SGI Contributes $91.4 billion annually to the state s economy. Employs 923,000 Michigan

More information

MACRA Frequently Asked Questions

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.

More information

Regional Extension Assistance Center for HIT (REACH) Impact in Minnesota and North Dakota

Regional Extension Assistance Center for HIT (REACH) Impact in Minnesota and North Dakota Regional Extension Assistance Center for HIT (REACH) Impact in Minnesota and North Dakota Achieving Meaningful Use of EHRs Final Report April 2016 Stratis Health 952-854-3306 www.stratishealth.org Regional

More information

Accountability: Physician and Professional Providers. Doing the Right Thing by Maximizing Quality. Introduction

Accountability: Physician and Professional Providers. Doing the Right Thing by Maximizing Quality. Introduction Accountability: Physician and Professional Providers Doing the Right Thing by Maximizing Quality By Richard Liliedahl, MD and Oscar Lucas, ASA, MAAA, FCA Introduction This article is part of the Inspire

More information

Maximizing Your Potential Under MIPS Oregon MACRA Playbook Conference

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

More information

Innovative Developments for Patient Registries in Providing Outcomes Information

Innovative Developments for Patient Registries in Providing Outcomes Information Innovative Developments for Patient Registries in Providing Outcomes Information Richard Gliklich MD CEO, Better Outcomes XIR, General Catalyst Partners Leffenfeld Professor, Harvard Medical School CBI

More information

Financing SBIRT in Primary Care: The Alphabet Soup and Making Sense of it

Financing SBIRT in Primary Care: The Alphabet Soup and Making Sense of it Financing SBIRT in Primary Care: The Alphabet Soup and Making Sense of it CAPT Hernan Reyes, MD Deputy Regional Administrator, HRSA Region 6 July 13, 2016 Objectives Understand the role of HRSA within

More information

Action Plan for Jobs An Island of Talent at the Centre of the World

Action Plan for Jobs An Island of Talent at the Centre of the World Action Plan for Jobs 2018 An Island of Talent at the Centre of the World September 2017 1 INTRODUCTION The American Chamber of Commerce Ireland s priority is that Ireland remains a unique transatlantic

More information

The Patient Protection and Affordable Care Act Summary of Key Health Information Technology Provisions June 1, 2010

The Patient Protection and Affordable Care Act Summary of Key Health Information Technology Provisions June 1, 2010 The Patient Protection and Affordable Care Act Summary of Key Health Information Technology Provisions June 1, 2010 This document is a summary of the key health information technology (IT) related provisions

More information

Getting Ready for the Post-SGR World. Presented by: Sybil R. Green, JD, RPh, MHA. West Virginia Oncology Society Spring Meeting May 5, 2016

Getting Ready for the Post-SGR World. Presented by: Sybil R. Green, JD, RPh, MHA. West Virginia Oncology Society Spring Meeting May 5, 2016 Getting Ready for the Post-SGR World Presented by: Sybil R. Green, JD, RPh, MHA West Virginia Oncology Society Spring Meeting May 5, 2016 CME/CE Information For Physicians: This activity has been planned

More information

Office of the National Coordinator for Health Information Technology; Medicare Access

Office of the National Coordinator for Health Information Technology; Medicare Access This document is scheduled to be published in the Federal Register on 04/08/2016 and available online at http://federalregister.gov/a/2016-08134, and on FDsys.gov Page 1 of 19 DEPARTMENT OF HEALTH AND

More information

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 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

More information

HEALTHCARE POLICY ESSENTIALS FOR GEORGIA APRN S

HEALTHCARE POLICY ESSENTIALS FOR GEORGIA APRN S HEALTHCARE POLICY ESSENTIALS FOR GEORGIA APRN S Laura Searcy MN, APRN, PPCNP-BC President, National Association of Pediatric Nurse Practitioners UAPRN State Conference September 24, 2016 Savannah, GA Overview

More information

The California Telehealth Network:

The California Telehealth Network: The California Telehealth Network: A Resource to Support Innovation Thomas Nesbitt, M.D., M.P.H. Associate Vice Chancellor, Strategic Technologies and Alliances Director, Center for Health and Technology

More information

VALUE BASED ORTHOPEDIC CARE

VALUE BASED ORTHOPEDIC CARE VALUE BASED ORTHOPEDIC CARE Becker's 14th Annual Spine, Orthopedic and Pain Management- Driven ASC Conference + The Future of Spine June 9-11, 2016 Swissotel, Chicago, IL LES JEBSON Administrator, Adjunct

More information

Agenda. Surviving the New Program Requirements and the Financial Penalties Under MIPS 9/9/2016. Steps to take to prepare for MIPS

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

More information

Statement for the Record. American College of Physicians. Hearing before the House Energy & Commerce Subcommittee on Health

Statement for the Record. American College of Physicians. Hearing before the House Energy & Commerce Subcommittee on Health Statement for the Record American College of Physicians Hearing before the House Energy & Commerce Subcommittee on Health A Permanent Solution to the SGR: The Time Is Now January 21-22, 2015 The American

More information

Improvement Activities: What You Have To Do

Improvement Activities: What You Have To Do Learning Forum Fridays Countdown to MIPS Data Submission Webinar Series Improvement Activities: What You Have To Do Merit-based Incentive Payment System = MIPS Liem Tran Health Informatics Specialist Health

More information