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MACRA Physician Quality Reporting: Positioning Your Practice for the MIPS Merit-Based Incentive Payment System
MACRA Physician Quality Reporting: Positioning Your Practice for the MIPS Merit-Based Incentive Payment System
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No matter which level of participation physician practices choose for the first Quality Payment Program performance period that began on January 1st, CMS's "Pick Your Pace" announcement—and reinforced with the release of the final rule­ —means practices should proactively prepare for the impact of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) on physician quality reporting and reimbursement.

MACRA Physician Quality Reporting: Positioning Your Practice for the MIPS Merit-Based Incentive Payment System delivers a veritable MACRA toolkit for physician practices, with dozens of tips and strategies that lay the groundwork for reimbursement under Medicare's Merit-based Incentive Payment System (MIPS), one of two payment paths Medicare will offer to practices.

Physician practices have just one month left to opt for the minimum activity necessary to avoid a payment penalty in 2019 by simply submitting some data in 2017.

In this 24-page special report, Eric Levin, director of strategic services, McKesson, provides an insightful overview of MACRA and sketches a detailed blueprint for MACRA readiness. Levin's advice covers more than 50 concepts to boost physician practice preparation, offering a compelling case for practices to polish their performance reporting skills.

With a focus on the MIPS path, since most practices will opt for MIPS rather than the Alternative Payment System (APM) based on current risk-contracting strategies, this report details the following:

  • A summary of MACRA eligibility, performance categories and data submission options;
  • Considerations for small and solo physician practices;
  • Four types of MACRA education, technical assistance and peer support options;
  • Five reasons physicians should prepare now for MACRA;
  • A dozen immediate actions physician practices can take in advance of MACRA rollout;
  • Using the CMS Quality and Resource Use Report (QRUR) to determine value;
  • Five steps to prepare for MACRA implementation;
  • Three reasons it makes sense to adopt the patient-centered medical home (PCMH) model;
  • Six advantages to enrolling in Medicare chronic care management;
and much, much more, including key takeaways and lessons learned from existing physician quality reporting initiatives.

MACRA Physician Quality Reporting: Positioning Your Practice for the MIPS Merit-Based Incentive Payment System offers a practical, step-by-step primer on MACRA preparation that, if followed, delivers the added benefit of improved clinical outcomes and population health management.

Table of Contents:

  • The New Physician Quality Reporting: Positioning Your Practice for MACRA Merit-Based Incentive Program
    • Payments Influence Delivery Models
    • Payment Reform Summary
    • An Overview of Merit-Based Incentive Payments System (MIPS)
    • MIPS Performance Categories
    • Small Practice Concerns
    • Preparing Now to Change Patient Outcomes
    • 5 Steps to Prepare for MACRA Implementation
    • Rewards of Patient-Centered Medical Home Recognition
    • Chronic Care Management as MACRA Stepping Stone
    • Key Takeaways
  • Q&A:
    • MIPS and Meaningful Use
    • Clinical Practice Improvement Activities
    • MACRA Impact on Specialty Providers
    • Weighing in on MACRA Delay
    • Lessons from Existing Physician Reporting Programs
    • MIPS Success Strategies
    • Practice Workflows for CCM, MIPS
    • Advice for Small and Solo Practices
    • MSSP Lessons in Quality Reporting
  • Glossary
  • For More Information
  • About the Contributor
Publication Date: September 2016
Number of Pages: 24
ISBN 10: 1-943542-30-9 (Print version); 1-943542-31-7 (PDF version)
ISBN 13: 978-1-943542-30-7 (Print version); 978-1-943542-31-4 (PDF version)
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