NavCareNet.com Blog

CMS Simplifies MACRA Quality Reporting for Rural Practices

Posted by Diana Porter on Jun 29, 2017 2:00:00 PM

The Centers for Medicare & Medicaid Services (CMS) released their final rule last week, easing some reporting requirements under MACRA for smaller practices. This is good news for many practices since more than 75% of doctors in decision-making roles say they are not prepared to meet MACRA quality reporting requirements, according to a survey by the AMA of 1,000 practicing physicians. Further almost a third of those who responded to the survey reported that they were “unlikely to meet” the basic standard to avoid penalty, according to a report in FierceHealthcare.

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Topics: MACRA, CMS

Getting the Most from MACRA and Value-Based Payments

Posted by Dr. Joseph F. West on Jun 16, 2016 2:30:00 PM

Nearly 60 million Americans are covered by Medicare and about 10,000 become eligible for Medicare every day. High-risk beneficiaries and those dealing with multiple and complex chronic diseases are driving cost and quality of care concerns.

Medicare primarily functioned as a fee-for-service (FFS) system where the volume of services delivered, not value, drove payment. This contributed to increased costs with a minimal focus on improving the quality of care. Consequently, the Centers for Medicare & Medicaid Services (CMS) began to look for a different payment system that encouraged incentives for value delivered and that recognized quality of care. The change from fee-for-service to value-based care had already begun in the commercial insurance sector as the large health plans looked to lower costs, spread risk and address quality of care issues.

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Topics: MACRA, Value-Based Incentives, Population Health Management, CCM


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This blog allows us the opportunity to share insights into unique information, news and updates, as well as provide a place to interact with you. As a care management organization, our blogs will take you through the many facets of care management, from chronic care and transitional care management, to population health management which is where we begin.

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