Community Record of Care for Accountable Communities of Health


Final Medicare Rewards for Quality, Information Sharing, and Improvement


The final rules for Medicare bonus and penalty payments were just released. They apply to providers who receive more than $30,000 a year from Medicare and have at least 100 Medicare patients.

This MACRA program, called Merit-based Incentive Payment System (MIPS) replaces and consolidates PQRS, and Meaningful Use (MU) programs. If you want full benefit from the program you must begin January 1, 2017. If you want to avoid penalties, you must begin at least 90 days before January 1, 2018.

Quality measures will account for 60% of the reward/penalty computation, Advancing Care Information 25%, and Improvement Activities 15%. MIN-NS can help you and your practice with metrics in all three 2017 metric sets. Stay tuned for more detailed blog posts which will follow with details about each of these areas.

Following is a high level summary of the metrics taken from the excellent, multi-page

 Quality Payment Program site, managed by HHS.

 

Quality

Replace: 

Physician Quality Reporting System (PQRS)

Description: 

Report on up to 6 measures from among 271 possible measures

HIE role: 

MIN-NS can help your practice manage measures involving: all cause hospital readmits, medication management, care plan/advance directives, referral reporting, and multiple other communication and care coordination measures

 

 

Advancing Care Information

Replace: 

Meaningful Use (MU)

Description: 

Fulfill 5 base measures. For additional credits and bonus payments complete other activities from among an additional 6 measures focused on inter-organization communication, as well as public health reporting.

HIE role: 

MIN-NS can help you practice with our existing public health reporting, Direct Secure email, and population health initiatives.

 

 

Improvement Activities

Replace: 

New

Description: 

Attest to completion of 4 improvement activities from among 93 for a minimum of 90 days.

HIE role: 

MIN-NS can help your organization with activities involving care transitions, review of the total use of care by your patients, medication management, and population health.

 

A focus on coordinating care with other providers in your community will lead to bonus payments from Medicare and position your practice to cooperate and work with other organizations for further work in quality and risk management.


By Duncan West at 18 Oct 2016, 09:06 AM