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  • Bundled Payment Update eNewsletter
  • MACRA MIPS/APM Update eNewsletter
  • Pay for Performance Update eNewsletter

RECENTLY FEATURED STORY
From November 20, 2018
MACRA MIPS/APM Update eNewsletter #32

Exploring Changes to the Quality Payment Program in 2019
The final 2019 Medicare Physician Fee Schedule (PFS) rule contained a number of changes to evaluation and management (E/M) payment rates, site-neutral payments, and remote patient monitoring coverage. But the rule also included key MACRA implementation rules for the Quality Payment Program's third year. According to CMS, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is a bipartisan legislation signed into law on April 16, 2015. The law replaced the Sustainable Growth Rate formula with the Quality Payment Program, which pays clinicians based on the value of care delivered rather than the volume of services furnished. Since 2015, CMS has been gradually implementing the historic value-based reimbursement program. And in 2019, the federal agency will still be instituting rules that will continue the implementation process for the Quality Payment Program and its two payment tracks: the Merit-Based Incentive Payment System (MIPS) and the Advanced Alternative Payment Model (APM) pathway. In the latest final rule on the Medicare PFS, CMS included major changes to how the federal agency enforces the Quality Payment Program. In the following article, RevCycleIntelligence.com will explore the key changes to MIPS and the Advanced APM track in the third year of the Quality Payment Program. (RevCycle Intelligence, November 6, 2018)


RECENTLY FEATURED VIDEO
From November 26, 2018
Pay for Performance eNewsletter #114

The Challenges of Managing Risk and Clinical Quality

Robert J. Margolis, MD
Founder, Robert and Lisa Margolis Family Foundation, Duke-Robert J. Margolis, MD, Center for Health Policy; Former Managing Partner and Chief Executive Officer, HealthCare Partners, Los Angeles, CA


RECENTLY FEATURED RESOURCE
From November 20, 2018
MACRA MIPS/APM Update eNewsletter #32

Final Policy, Payment, and Quality Provisions Changes to the MEdicare Phsyician Fee Schedule for Calendar Year 2019


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