A blog dedicated to advancing healthcare quality.

3 Tips for Leveraging Data for Quality Improvement and Financial Gain

Posted by Jodie Jackson, Jr. on Aug 3, 2017 9:00:00 AM

As you probably realize, financial success in the age of value-based payments requires a commitment to quality improvement. To obtain the valuable information and insights needed to guide quality improvement efforts and meet performance measures that are required for financial reimbursement, physicians and other healthcare providers must leverage data.

Accurate quality reporting relies on trained data abstraction professionals.

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Topics: quality reporting, quality improvement, MACRA, value-based payments, electronic health records

5 Keys to Understanding 'Improvement Activities' Under MIPS

Posted by Jodie Jackson, Jr. on Jul 17, 2017 9:00:00 AM

One of these things is not like the other.

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Topics: care coordination, value-based payments, MIPS, improvement activities

Do You Have Your Team Line-up for Value-based Care?

Posted by Rachel Verslues on Jan 30, 2017 9:00:00 AM

In January of 2015, the U.S. Department of Health & Human Services (HHS) announced aggressive goals to push Medicare—and really the entire healthcare system—further toward value-based care. HHS’s goals of moving from volume to value include tying 50 percent of fee-for-service Medicare payments to value by the end of 2018. If you haven’t already began, it’s time to build your value-based care team.

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Topics: value-based care, value-based payments

A Look at How Small Practices Can Survive Large Healthcare Changes

Posted by Adam Voight on Jan 19, 2017 9:02:00 AM

Confident doctor posing in the office-1 BW.jpgIt’s obvious that 2017 will be a year when the healthcare industry experiences a number of large-scale changes. That prompts the question: How do small healthcare practices adjust to big changes? The shift to electronic health records, the introduction of value-based payments, and changes to quality reporting guidelines are just a few examples of relatively recent healthcare developments that have shaken up medium and small practices. If you are part of a smaller practice and you feel like new challenges are being thrown your way all the time, you are not alone. So what is the best way to keep up? For starters, you have to create an environment that supports change, allows mistakes, and encourages innovation.

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Topics: value-based payments

What Can You Expect When Transitioning To A New Payment Model?

Posted by Adam Voight on Jan 12, 2017 9:00:00 AM

Transitioning to a new payment model-1.jpg

Medicare is knee-deep in a payment model overhaul that began with the introduction of MACRA in 2015. Because of the size of this reform and the impact it will eventually have on reimbursements, there are obvious concerns about program changes, how they will be implemented, and what it will take for healthcare providers to comply. A study by the Commonwealth Fund identified five of the top barriers to the successful sustainability and spread of new healthcare models. Those barriers are financial incentives, capacity to change, culture and workforce, infrastructure, and evidence. As providers plan for MACRA, it is helpful to examine the different factors that make adapting to a new healthcare model successful (or unsuccessful).

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Topics: MACRA, value-based payments

What Happens to Healthcare After the Election?

Posted by Rachel Verslues on Nov 15, 2016 10:00:00 AM


You know we've all been thinking it. Since Donald Trump was elected the 45th President of the United States last Tuesday, we've all been asking ourselves, "What happens to healthcare? What happens to the Affordable Care Act (ACA), to the Medicare Access and CHIP Reauthorization Act (MACRA), and to value-based care?" The simple answer is—we don't know yet. 

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Topics: value-based care, MACRA, value-based payments

The Sad State of Uncoordinated Care in the U.S.

Posted by Rachel Verslues on Oct 4, 2016 10:00:00 AM

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Topics: care coordination, quality improvement, value-based payments

Knowing Your Data is Key to Bundled Payments Success

Posted by Robin Corderman on Oct 3, 2016 10:00:00 AM

Along with accountable care organizations, risk-sharing arrangements, and medical homes, bundled payment innovations are yet another tool in CMS’ toolbox for moving closer to value-based care.  Bundled payments are designed to test whether costs can be lowered and health outcomes improved if providers work closely together to coordinate care. 

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Topics: value-based care, value-based payments

Demystifying MACRA: Aledade & Primaris to Host Educational Event

Posted by Rachel Verslues on Jul 20, 2016 9:00:00 AM

The word MACRA has become quite the buzzword throughout the healthcare industry. What do you know so far about the future of physician payments? What don’t you know?  

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Topics: PQRS, MACRA, ACO, value-based payments, MIPS

Five Things to Do Today to Prepare for MACRA

Posted by Richard A. Royer on Jul 18, 2016 10:00:00 AM

Last year, Congress passed the Medicare Access and CHIP Reauthorization Act (MACRA) which replaced the much-maligned sustainable growth rate formula and included efforts to bring down costs while increasing quality.  MACRA rules are still being finalized but it will basically transform the way in which Medicare reimburses for physician services.

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Topics: MACRA, value-based payments, MIPS

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