We covered how MACRA impacts physician practices and hospitals. Now it's time to develop an action plan. Join us in this 2nd installment of our MACRA webinar series, as we cover: - Readiness project plans for providers for 2016 through 2018 - Roadmaps, milestones, tasks, and resources needed to make the plan a success

2. Speakers
Jas Grewal
CEO and Co-Founder
Aditya Mangal
VP of Customer Success

4. • MACRA impacts both physicians and hospitals
• Most providers will fall under the MIPS category
• Performance in 2017 will determine payment in 2019
MACRA Recap

5. 1. Have you prepared a MACRA
plan for 2016 through 2018?
Poll
• I have a plan in place (67%)
• I somewhat have details of a plan (17%)
• I have yet to begin preparing a plan (16%)

6. Action Plan for 2016
through 2018 to
Prepare for MACRA
Agenda
Risks and Milestones to
Consider Through This
Journey
Tools and Resources
Required for a
Successful Plan

7. 2016: Know Yourself

8. • Understand your
PQRS reports
• Benchmark your
performance
Action Plan
• Get certified EHR
• Evaluate solutions for
patient engagement
• Plan and schedule your
90-day reporting period
for 2017
• Review CPIA list
• Analyze population by
cost/patient
• Identify workflow changes
for plans
Quality (50%) Advancing Care
Information (25%)
Clinical Practice
Improvement (15%)
Resource Use and
Cost (10%)

9. 2016 (August) 2017
Certified EHR
a Must Have
Evaluate cost analytics
tools
Enable quality team to
review PQRS & CPIA
Milestone: MACRA
ruling in November
Milestones, Resources, and Tools

10. 2017: CMS Performance
Benchmark Year

11. • Report 6 domains; 1
cross-cut, 1 outcome
• Watch for NPRM (July)
to address changes
Action Plan
• Ensure efficacy of EHR
• Complete security risk
assessment
• Execute 90-day reporting
period. Decide on CPIA
• Enable patient reach out
for health status checks
• Monitor high-risk patients
for specialized care
Quality (50%) Advancing Care
Information (25%)
Clinical Practice
Improvement (15%)
Resource Use and
Cost (10%)

12. 2017 2018
Complete SRA in
Early 2017
Complete the 90 day
reporting
for the period you decided
Quality teams review
& adjust measures
based on feedback
Milestone: First
Feedback report in
July
Milestone: CMS
collects data starting
January
Get a clear picture of your
Population; Enable structured
outreach programs.
Milestones, Resources, and Tools

13. 2018: Continue to Optimize

14. You will get penalized in 2019 based on 2018 performance.
Review your quality performance based on CMS feedback reports and
put in place improvement action plans; focus on high risk patients
Focus on payment maximizing initiatives. Think of achieving
high patient engagement through automation
Optimize Your Performance

15. 2018 2019
Improve quality based on
your first feedback report
Enable tools & processes to
focus on high risk
and high utilization patients
Quality teams review
& adjust measures
based on feedback
Milestone: Second
Feedback report in
July
Get a clear picture of your
Population; Enable structured
outreach programs.
Milestones, Resources, and Tools