CMS has proposed changes to exclude physician practices from MACRA participation and quality reporting that have either less than $90,000 in Medicare revenue or fewer than 200 Medicare patients per year.
Value Based Healthcare
The argument against mandatory bundled payments: does it hold up?
Voluntary vs. Mandatory? What will happen in the near future? Oh, bundled payments. In a fee-for-service model, a hospital is...
SNEAK PEEK: This Year’s Perioperative Care Boot Camp
What we love about this conference is it’s designed to bring all the leaders in a patient’s care team together.
Executive Reading List: 5 Benchmarking Articles You Don’t Want to Miss
What are your peers doing with benchmarking? We’ve put together a benchmarking reading list for five different perspectives to consider.
In The News: CMS Delayed Bundled Payment Initiatives, Here’s What You Need to Know
There’s been speculation for months, but now it’s official. CMS issued a final rule to push back mandatory implementation of bundled payment initiatives for cardiac care, along with the expansion of Comprehensive Care for Joint Replacement (CJR) to include hip and femur fractures, to January 1, 2018.
In the News: MIPS Exemptions Grow to More Than 800,000
If there’s one thing that’s certain in healthcare, especially right now, it’s that everything is uncertain.
Merit-Based Incentive Payment System (MIPS)
The Medicare Access and CHIP Reauthorization Act (MACRA) passed by Congress in 2015, removed the Sustainable Growth Rate (SGR) assessment used to control Medicare spending. This change removed the requirement of Congress voting on and authorizing changes to the physician fee schedule. The Physician Quality Reporting System (PQRS) transitioned into the Quality Payment Program (QPP). Medicare now rewards high-value, high-quality Medicare clinicians with payment increases – while at the same time reducing payments to those clinicians who are not meeting performance standards.
In the News: CMS Delays Bundled Payments – What it Means for Your Organization
In April of 2016, The Centers for Medicare and Medicaid Services (CMS) mandated bundled payments as a part of the Comprehensive Care for Joint Replacement (CJR) model, which holds hospitals financially accountable for the quality and cost of a CJR episode.
Dr. Zeev Kain on Why Interdisciplinary Conferences are so Important to Value-Based Care
#LeadingVBHC We talked to Zeev Kain, MD, MBA, about his motivation for spearheading the Orthopedic Value-Based Care conference....
Dr. Linda Russell on How Interdisciplinary Teams Work Towards Value-Based Care at HSS
Check out the Full Video Recording of the Interview here ⇒#LeadingVBHC We talked to Linda Russell, MD from HSS after her...
Kristie Dennett on How Her Orthopedic Service Line Is Moving Towards Value-Based Care
Check out the Full Video Recording of the Interview here ⇒#LeadingVBHC We talked to Kristie Dennett, Orthopedic Service Line...
Dr. James Slover on What Makes Outpatient Joint Procedures Work at NYU
Check out the Full Video Recording of the Interview here ⇒#LeadingVBHC We talked to James Slover, MD from NYU after his...