MEDICARE ACCESS & CHIP REAUTHORIZATION ACT

MACRA

On April 16, 2015, President Obama signed into law the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). MACRA makes three important changes to how Medicare pays those who give care to Medicare beneficiaries. 

The law:

  • Repeals the Sustainable Growth Rate (SGR) formula for determining Medicare payments for health care providers’ services

  • Makes a new framework for rewarding health care providers for moving away from fee-for-service and toward payment based on value

  • Combines existing quality reporting programs (EHR Incentive Program, PQRS and VM) into one new system

These proposed changes, which have been named the Quality Payment Program, replace a patchwork system of Medicare reporting programs with a flexible system that allows you to choose from two paths that link quality to payments: the Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs).

Most Medicare clinicians will initially participate in the Quality Payment Program through MIPS.

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For more information on how Lineage Consulting can help your practice become compliant with MACRA standards and guidelines, please contact us today! 

Merit-based Incentive Payment System (MIPS)

Currently, Medicare measures the value and quality of care provided by doctors and other clinicians through a patchwork of programs, including the Physician Quality Reporting System, the Value Modifier Program, and the Medicare Electronic Health Record (EHR) Incentive Program. Through MACRA, Congress streamlined and improved these programs into one new Merit-based Incentive Payment System (MIPS).

 

Consistent with the goals of the law, MIPS would improve the relevance and depth of Medicare’s value and quality-based payments and increase clinician flexibility by allowing clinicians to choose measures and activities appropriate to the type of care they provide. MIPS allows Medicare clinicians to be paid for providing high quality, efficient care through success in four performance categories: Cost, Quality, Clinical Practice Improvement Activities and Advancing Care Information.

MIPS SERVICES
LINEAGE CONSULTING CAN HELP YOU PREPARE FOR MIPS NOW!
 

MIPS combines the four different measurement critiera to score providers on performance. Lineage Consulting provides services to eligible clinicians with services from understanding the fundamentals of MIPS, and determining eligibility in the program, to planning technological and operational strategies. Lineage Consulting can assist your practice with streamlining the collections of data required with the exisiting EHR Incentive Program, PQRS and VM requirements. 

 

Lineage Consulting can enhance your practice's workflow to take advantage of MIPS participation with minimal impact to your day-to-day operations.

MIPS Services for Eligible Clinicians

 

  • MIPS Educational Groups

  • Practice Analysis

  • Eligibility and Financial Impact

  • Technology Assessment

  • Certified Technology Implementation

  • MIPS Measure Selection and Clarification

  • Exclusion Analysis

  • Workflow Process Design

  • Threshold Compliance

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