Quality Payment Program

  • Webinar | Maximizing Your Quality Score: Beyond the Basics for Solo, Small Group Practices

    Webinar | Maximizing Your Quality Score: Beyond the Basics for Solo, Small Group Practices

    As the Quality Payment Program matures, many solo and small group practices, including specialty practices, are realizing that earning a high-quality score is becoming more challenging as some quality measures are becoming topped-out, preventing providers from earning a higher than average score. Each year practices should reassess which quality measures will work best for them […]Read More »
  • 2018 Performance Feedback Review Deadline Sept. 30

    2018 Performance Feedback Review Deadline Sept. 30

    MIPS eligible clinicians, groups, and virtual groups (along with their designated support staff or authorized third-party intermediary), including APM participants, may request CMS to review the calculation of their 2020 MIPS payment adjustment factor(s) through a process called targeted review. If one of your practices believe an error has been made in their 2020 MIPS […]Read More »
  • Proposed Rule to Set Performance Threshold for 2020, 2021

    Proposed Rule to Set Performance Threshold for 2020, 2021

    Every year the most significant news that comes from the proposed rule and later the final rule is the increase in the performance threshold, otherwise known as the minimum score an eligible clinician must achieve to stay penalty-free. The proposed rule in 2020 aims to set the performance threshold for both 2020 and 2021, moving […]Read More »
  • Tutorial Webinar: RFA Application Portal

    Tutorial Webinar: RFA Application Portal

    The Center for Medicare and Medicaid Innovation (CMMI) and the ET3 Model team are pleased to announce that the RFA Application Portal will be available the week of August 5th, 2019. Another announcement will notify you when it is officially open and available on the ET3 Model web page. The ET3 Model team will be […]Read More »
  • ESRD, DMEPOS CY 2020 Proposed Rule

    ESRD, DMEPOS CY 2020 Proposed Rule

    On July 29, CMS issued a proposed rule that proposes to update payment policies and rates under the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for renal dialysis services furnished to beneficiaries on or after January 1, 2020. This rule also: Proposes updates to the Acute Kidney Injury (AKI) dialysis payment rate for renal dialysis […]Read More »
  • Proposed Rule: OPPS, ASC Payment System for CY 2020

    Proposed Rule: OPPS, ASC Payment System for CY 2020

    On July 29, CMS proposed policies that follow directives in an Executive Order, entitled “Improving Price and Quality Transparency in American Health Care to Put Patients First,” that lay the foundation for a patient-driven health care system by making prices for items and services provided by all hospitals in the United States more transparent for […]Read More »
  • Proposed Policy, Payment and Quality Provisions Changes for CY 2020

    Proposed Policy, Payment and Quality Provisions Changes for CY 2020

    On July 29, CMS issued a proposed rule that includes proposals to update payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2020. This proposed rule is one of several proposed rules that reflect a broader Administration-wide strategy to create a health […]Read More »
  • 2020 Proposed Physician Fee Schedule Rule Released

    2020 Proposed Physician Fee Schedule Rule Released

    The Centers for Medicare & Medicaid Services (CMS) is proposing major policy changes to ensure clinicians spend more time providing high-value care for patients instead of filing cumbersome paperwork. As part of CMS’s annual changes to the Medicare Physician Fee Schedule and Quality Payment Program, the agency’s proposals are aimed at reducing burden, recognizing clinicians […]Read More »
  • Landmark Price Transparency Proposals Benefit Consumers

    Landmark Price Transparency Proposals Benefit Consumers

    The Centers for Medicare & Medicaid Services (CMS) recently announced three important Medicare proposed payment rules that support the transformation of the healthcare system and deliver on providing quality care for patients. Additional proposed rules Advance Agency’s Patients Over Paperwork and Meaningful Measures Initiatives, Strengthen Quality Incentives and Build on Commitment to Improving the Lives […]Read More »
  • Office Hour Session: Primary Care First Model

    Office Hour Session: Primary Care First Model

    Please join us for an upcoming office hour session on Primary Care First model payments. Primary Care First offers an innovative payment structure that aims to promote access to advanced primary care and reward high-quality, patient-focused care. During this session, the Primary Care First model team will answer your questions related to model payment structure. […]Read More »
  • Submitting Your MIPS Data: Advice for Solo and Small Group Practices

    Submitting Your MIPS Data: Advice for Solo and Small Group Practices

    With the data submission deadline around the corner, understanding the mechanics of how to submit your MIPS data and what documentation you need to retain can be challenging, especially given time constraints for solo practitioners and small group practices. This event will focus on the methods by which you can submit your 2018 MIPS data […]Read More »
  • Focusing on Opioid Safety

    Focusing on Opioid Safety

    Focusing on Opioid Safety Newly released data from the Centers for Disease Control and Prevention (CDC) show that life expectancy in the United States has decreased for the second time in three years1,2. This is due in part to increasing rates of opioid overdose deaths. There were more than 70,000 overdose deaths in 2017, the […]Read More »
  • New MIPS Resources are Now Available in the QPP Resource Library

    New MIPS Resources are Now Available in the QPP Resource Library

    New MIPS Resources are Now Available in the QPP Resource Library CMS has posted the following new Merit-based Incentive Payment System (MIPS) resources on CMS.gov: 2019 Virtual Groups Toolkit: Includes an overview fact sheet, which details what virtual groups are and how to participate in a virtual group in 2019; an election process fact sheet […]Read More »
  • MIPS APMs to Advanced APMs: How to Make the Valuable Transition

    MIPS APMs to Advanced APMs: How to Make the Valuable Transition

    This year, America’s Physician Groups (APG) continues their webinar series with the Centers for Medicare and Medicaid Services (CMS) for physicians and physician groups implementing the Medicare Access and CHIP Reauthorization Act (MACRA) through the Quality Payment Program (QPP), focusing onAlternative Payment Models (APMs). Through a co-branding agreement with CMS, the sessions will combine CMS expertise on […]Read More »
  • New Payment Model to Improve Quality, Coordination, and Cost-Effectiveness

    New Payment Model to Improve Quality, Coordination, and Cost-Effectiveness

    The Centers for Medicare & Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (Innovation Center) announced the launch of a new voluntary bundled payment model called Bundled Payments for Care Improvement Advanced (BPCI Advanced).Read More »
  • Reporting MIPS as a Group

    Reporting MIPS as a Group

    A group is defined as a single Tax Identification Number (TIN) with two or more Merit-based Incentive Payment System (MIPS) clinicians. A group is required to aggregate their performance data across the TIN in order to have their performance assessed as a group. The group will be assessed across all four MIPS performance categories. One […]Read More »