Amazon, JP Morgan, and Berkshire Hathaway are teaming up to tackle the biggest problems facing the US in healthcare. Using technology can this company that Amazon and others are forming set healthcare on a new path of innovation?
In a survey conducted by AMGA Consulting found an average of $31,957 in operating losses accrued by integrated health systems during 2016-2017
If there is one universal given in healthcare today, it’s the complexity and fear of the unknown of the Quality Payment Program (QPP), or MACRA, whichever title you prefer. From provider feedback, we have crafted an actionable approach to allow…
Transitional Care Management (TCM) bolsters the involvement of primary care physicians in the coordination of post-discharge care to reduce readmission. Patients with moderately complex diagnoses are eligible to receive TCM services during a 30-day window after their discharge from an…
The 2,171-page final rule contains several differences that crosswalk existing PQRS measures to new finalized metrics. The simplest way to ensure your PQRS-to-MIPS transition goes smoothly is to search each quality metric and data submission method here. Several important tables…
Hierarchical Condition Category (HCC) coding is a payment model implemented by CMS in 2003 to assign a Risk Adjustment Factor (RAF) to individuals with chronic illnesses based upon a combination of their health conditions and demographic circumstances. HCCs are split…
The Centers for Medicare & Medicaid Services (CMS) proposed the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) in late April, 2016. This release announced a fundamental overhaul of physician payment methodologies from a model reimbursing each individual service…
The Office of the National Coordinator for Health IT recently released defined interoperability measures as required by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). These measures intend to clarify what exactly it means to, “achieve widespread exchange…
The Merit-Based Incentive Payment System (MIPS) is the future value-based program for Medicare Part B Providers that should be considered the default Medicare payment program beginning January 1, 2019 with a two-year look-back, therefore truly beginning in 2017. This program…
The Center for Medicare and Medicaid Services (CMS) released the first set of “Core Quality Measures” this Tuesday, in which CMS and private payers agree to utilize in value-based payments. The collaborative includes members from America’s Health Insurance Plans (AHIP),…