The start of the new year marks one of the biggest changes Medicare has seen it its 50 years – the transition to the new Quality Payment Program (QPP) under MACRA. The QPP overhauls the way in which clinicians treating Medicare patients are reimbursed and combines and sunsets three big CMS programs: Meaningful Use, the Physician Quality Reporting System, and the Value-Based Payment Modifier. Your participation decisions in 2017 and how your scores compare to your peers will affect your Medicare reimbursement in 2019.
Not quite sure of all the ins and outs of the program? Visit our MACRA 101 page first to learn more.
1. SurveyVitals can help you satisfy reporting requirements.
Your SurveyVitals solution can help you meet more than enough measures in the Clinical Practice Improvement Activities category to satisfy reporting requirements. Additionally, for anesthesia providers, SurveyVitals anticipates being able to help clients satisfy a measure in the Quality category. CMS has not yet released the list of approved non-MIPS measures that can be reported via a QCDR, but says it will do so in early spring.
2. Most Medicare Part B clinicians will participate in the MIPS track
The MIPS program is a part of the larger Quality Payment Program which has two tracks – the MIPS track and the Alternate Payment Models (APM) track. Most all Medicare Part B clinicians will participate in MIPS, while a smaller percentage will qualify as an advanced APM and participate in the APM track. See the list of CMS-approved APM models for program year 2017 here.
3. Patient experience deemed a ‘high priority’ measure
Measuring the patient experience has been weighted more heavily under the MIPS program than in previous years. If reported, it is worth more points toward your total composite performance score than other medium-weight measures, meaning fewer measures to report on. (win-win!)
4. CAHPS for MIPS is optional, regardless of group size.
Previously named CAHPS for PQRS, CAHPS for MIPS is not required under the new program, regardless of group size. This is a notable change from PQRS as groups over 100 or those participating in GPRO previously had to participate in CAHPS. The increased flexibility under MIPS allows clinicians to forego participation in CAHPS, and, instead, identify clinical measures in their specialty to optimize their scores in the quality category.
Are you participating in MIPS? If so, you should know that there are going to be some changes to the program in 2019. CMS has been collecting stakeholder feedback about MIPS over the past couple years, which they’ve used to continue to develop the program. While MIPS will look very familiar next year, there are […]
BOISE, ID (Press Release) – SurveyVitals, Inc., a healthcare analytics company specializing in digital patient experience surveys, announced their approval by the Centers for Medicaid and Medicare Services (CMS) to administer the HCAHPS survey. The company becomes one of only 28 certified vendors in the nation. “This approval is significant in that it allows us […]
Unverified online patient reviews do not always correlate with actual patient experience, according to a new study published by the Mayo Clinic. Can you trust what people say about doctors online? That’s the question that researchers from the Mayo Clinic set out to answer when they started collecting data from online patient reviews in 2014. […]
On January 2, the Centers for Medicare and Medicaid (CMS) launched a new data submission system for groups and clinicians participating in the Quality Payment Program. Here are some key points: Clinicians now submit all their 2017 performance data in the same place. Previously, under the various CMS legacy programs, clinicians had to use multiple […]