MIPS: The Incredible Shrinking Incentive
By Jim Tate – I first received a hint that something funny was going on about two weeks ago. A colleague who is one of the foremost MACRA-MIPS experts contacted me about one of her clients.
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Now Available: MIPS 2019 Payment Adjustment Fact Sheet
CMS has posted an additional resource on CMS.gov to help eligible clinicians and groups understand their Merit-based Incentive Payment System 2019 payment adjustment based on their 2017 performance.
CMS Releases Proposed Rule on 2019 QPP
CMS has proposed historic changes that would increase the amount of time that doctors and other clinicians can spend with their patients by reducing the burden of paperwork that clinicians face when billing Medicare.
CMS Releases Proposed Rule on 2019 QPP
CMS releases Proposed Rule for 2019 Medicare Quality Payment Program. It includes their proposed policies for Year 3 (2019) of the Quality Payment Program via the Medicare Physician Fee Schedule (PFS).
CMS Advances Demonstration to Waive MIPS Requirements
CMS is advancing the MAQI Demonstration, which, when approved and adopted, would waive MIPS requirements for clinicians who participate sufficiently in certain Medicare Advantage plans that involve taking on risk.
CMS Approves State Proposal to Advance Specific Medicaid Value-Based Arrangements
CMS issued the first-ever approval of a state plan amendment proposal to allow the state of Oklahoma to negotiate supplemental rebate agreements involving value-based purchasing arrangements with drug manufacturers.
CMS Takes Action to Modernize Medicare Home Health
CMS proposed significant changes to the Home Health Prospective Payment System to strengthen and modernize Medicare, drive value, and focus on individual patient needs rather than volume of care.
Despite U.S. Court’s Ruling, Medicaid Work Requirements Advance In Other States
By Phil Galewitz – The fallout from the recent federal court ruling that struck down the Medicaid work requirement in Kentucky was swift.
CMS Announces Initiatives to Strengthen Medicaid Program Integrity
CMS announced new and enhanced initiatives designed to improve Medicaid program integrity through greater transparency and accountability, strengthened data, and innovative and robust analytic tools.