An Up-to-the-Minute Update on MACRA
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The final MACRA rule is finally here. The entire healthcare industry has been waiting since May for the details. Get the scoop on what has changed and what has stayed the same for MACRA, and more importantly, how all this will impact your practice. In this free webinar, industry expert John Lynn will walk you through: - The main components of MACRA, including MIPS and APMs - Review the process for deciding which track you should take - The components of MACRA and what’s new in the final rule - How these changes may impact smaller practices Don’t miss this chance to get the latest update on MACRA to understand how it may impact you starting in 2017.
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An Up-to-the-Minute Update on MACRA
- 1. webinar An Up-to-the-Minute Update on MACRA Presented by John Lynn November 16, 2016
- 2. @GoKareo Agenda 2 Agenda 2 • Welcome & Introductions • MACRA Final Rule Update • How Kareo Can Help • Your Questions
- 3. @GoKareo 33 How to Participate Today… Type your questions Download today’s resources View today’s presentation
- 4. @GoKareo 44 Connect via Social Connect with us via social media How to connect: 1) Follow @GoKareo on Twitter 2) Follow @LeaChatham on Twitter 3) Follow @techguy on Twitter twitter.com@GoKareo facebook.com/GoKareo linkedin.com/company/kareo
- 5. @GoKareo 55 Speaker John Lynn Editor & Founder HealthcareScene.com, a network of 10 EHR and HIT blogs Co-founder of InfluentialNetworks.com & Physia.com Blogs have published over 10,000 healthcare IT posts with more than 18 million views
- 6. @GoKareo Agenda 6 Agenda 6 • Welcome & Introductions • MACRA Final Rule Update • How Kareo Can Help • Your Questions
- 7. @GoKareo 77 What is MACRA? Medicare Access and CHIP Reauthorization Act of 2015 • Replaces Sustainable Growth Rate (SGR) and the annual "Doc Fix" • Single Framework - Quality Payment Program Streamlines Multiple Quality Reporting Programs Into • APMs (Advanced Alternative Payment Models) • MIPS (Merit-based Incentive Payment System) Final Rule Published on October 14th • Includes Comment Period Impact of New President?
- 8. @GoKareo 88 MACRA Comment Period • 4000 Comments • 100,000 Physicians and Stakeholders in Outreach Sessions • 2,398 page Final Rule • Result • 2017 - Transition Year • Iterative Learning • Development Period Overarching Goal: Move to Quality
- 9. @GoKareo 9 Most Small Practices Will Do MIPS! CMS Expects Most Will Move from MIPS to APM Over Time Final Rule Included More APM Options
- 10. @GoKareo 1010 Are You Part of an APM? Who's Considered an Advanced APM in 2017? • Shared Savings Program (Tracks 2 and 3) • Next Generation ACO Model • Comprehensive End Stage Renal Disease Care Model (Two-Sided Risk Arrangements) • Comprehensive Primary Care Plus (CPC+) • Oncology Care Model (OCM) (two-sided risk track) Advanced APMs List Will Be Updated at: QPP.CMS.GOV
- 11. @GoKareo 1111 Are You Part of an APM? Future Advanced APMs in 2018: • Comprehensive Care for Joint Replacement (CJR) Payment Model (CEHRT) • Advancing Care Coordination through Episode Payment Models Track 1 (CEHRT) • ACO Track 1+ • New Voluntary Bundled Payment Model • Vermont Meidcare ACO Initiative (as part of the Vermony All-Payer ACO Model) New Proposals Reviewed by PTAC (Physician- Focused Payment Model Technical Advisory Committee)
- 12. @GoKareo 1212 Are You Part of an APM?
- 13. @GoKareo 1313 Are You Part of an APM?
- 14. @GoKareo 1414 What’s the Benefit of Being an Advanced APM? The MACRA APM Creates Extra Incentives, It Doesn't Change Current APM Functions or Rewards Value
- 15. @GoKareo 1515 MIPS Details Replaces 3 Programs: • PQRS • Medicare EHR Incentive Program (Meaningful Use) • Value-Based Payment Modifier (VBM) These Programs Go Through 2018 New Program: • Clinical Practice Improvement Activities (CPIA)
- 16. @GoKareo 1616 MIPS Details Worth Noting: • Medicaid EHR Incentive Program will Continue • Medicare EHR Incentive Program for Hospitals Will Continue • MIPS is Not an Exclusion Immediate Timeline: • First Performance Period is 2017 • MIPS Adjustments Happening in 2019
- 18. @GoKareo 1818 Who's Eligible for MIPS?
- 19. @GoKareo 1919 Who's Not Eligible for MIPS?
- 20. @GoKareo 2020 What's the MIPS Incentive or Penalty?
- 21. @GoKareo 2121 MACRA “Pick Your Pace” Options
- 22. @GoKareo 2222 Pick Your Pace – “Test”
- 23. @GoKareo 2323 MIPS Performance Category Weighting
- 24. @GoKareo 2424 Quality Performance Category PQRS Replacement • 1 Measure must be Outcome or High-Priority Measure • Specialty Specific Measure Sets • Year 1 Weight - 60% (Up from 50%)
- 25. @GoKareo 2525 Quality Performance Category
- 26. @GoKareo 2626 Quality Performance Category
- 27. @GoKareo 2727 Resource Use (Cost) Category Value-Based Modifier Replacement No Data Submission Required • Calculated Based on Medicare Claims Details: • Feedback Only in 2017 – Does Not Affect 2019 Payments • Year 1 Weight - 0% (Down from 10%)
- 28. @GoKareo 2828 Clinical Practice Improvement Activities Category New Category (CPIA) • 90+ Activities to Choose From 9 Subcategories
- 29. @GoKareo 2929 Clinical Practice Improvement Activities Category New Category (CPIA) • Year 1 Weight - 15% (Same)
- 30. @GoKareo 3030 Clinical Practice Improvement Activities Category
- 31. @GoKareo 3131 Advancing Care Information Category EHR Incentive Program (Meaningful Use) Replacement Details: • Year 1 Weight - 25% (Same) • Significant Hardship Exemption – Weighted to 0% • 25% Weight Goes to Other Categories
- 32. @GoKareo 3232 Advancing Care Information Category
- 33. @GoKareo 3333 Advancing Care Information Scoring
- 34. @GoKareo 3434 Advancing Care Information Changes
- 35. @GoKareo 3535 Advancing Care Information Changes • Removed "All or Nothing" Approach from EHR (Meaningful Use) Program • Removed Redundant Measures • Eliminated CPOE and CDS Objectives • Reduced the Number of Required Public Health Registries
- 36. @GoKareo 3636 MIPS APM Benefits
- 37. @GoKareo 3737 Transition Year 2017 Payment Adjustments
- 38. @GoKareo 3838 Small Practice Support for MACRA • Pick Your Pace • More Access to Advanced APMs • Increased Exemptions • Transforming Clinical Practice Initiative (“RECs”)
- 39. @GoKareo 3939 Next Steps • Evaluate if You’re in An Advanced APM or MIPS • MIPS • What’s Your Medicare Part B Reimbursement? • Shoot for Full Participation – Prepare for 2018 • Best Case: Full Participation (with Bonuses) • Middle Case: Partial Participation • Worst Case: Test • MACRA Isn’t Going Away • Commercial Payers Might Follow • Help Desk: qpp@cms.hhs.gov
- 40. @GoKareo Agenda 40 Agenda 40 • Welcome & Introductions • MACRA Final Rule Update • How Kareo Can Help • Your Questions
- 41. @GoKareo 4141 Awards and Rankings Growth awards The speed at which medical practices are moving to Kareo and referring it to other providers. Best places to work Happy, engaged employees stay longer, have more experience and offer better customer service Analyst reviews 3rd party recognition, driven by direct customer feedback, equals trust and credibility
- 42. @GoKareo 4242 Kareo’s MACRA Resource Center www.kareo.com/MACRA
- 43. @GoKareo 4343 Kareo Platform Kareo Clinical • Comprehensive dashboard • Simple charting • Easy ePrescribing • Convenient eLabs • Specialty templates • Electronic Superbill • Integrated Patient Portal • Secure messaging
- 44. @GoKareo 4444 Kareo Platform Kareo Marketing • Marketing and front office automation • Online visibility and SEO • Online appt. scheduling • Email, text & voice recording appt. reminders • Post visit patient reviews • Practice analytics for ROI • Patient communications
- 45. @GoKareo 4545 Discover Kareo’s Role • PAHCOM has approved 1 CEU credit. • Each attendee will receive an email today with a link to request certification. Certificates will be mailed within the next few days. • Attendees must be logged into the webinar to receive credit. • You’ll be asked at the end of the webinar if you want a CEU certificate. “…Make Your Practice a Best Practice!”
- 46. @GoKareo Agenda 46 Agenda 46 • Welcome & Introductions • MACRA Final Rule Update • How Kareo Can Help • Your Questions
- 47. @GoKareo 4747 How to Participate Today… Type your questions -- Questions After the Webinar -- 888.775.2736 x1 sales@kareo.com
- 48. Connect with Kareo Stop by and say hi! Kareo @GoKareo GoKareo Kareo 3353 Michelson Drive, Suite 400 Irvine, CA 92612 (888) 775-2736
Editor's Notes
- Final Rule: https://www.federalregister.gov/documents/2016/11/04/2016-25240/medicare-program-merit-based-incentive-payment-system-and-alternative-payment-model-incentive-under Executive Summary: https://qpp.cms.gov/docs/QPP_Executive_Summary_of_Final_Rule.pdf QPP Website: https://qpp.cms.gov/ Extended Deck: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/MACRA-MIPS-and-APMs/Quality-Payment-Program-Long-Version-Executive-Deck.pdf Help Desk: qpp@cms.hhs.gov Estimate 600,000 providers involved
- APM Resources: https://engage.vevent.com/index.jsp?eid=5779&seid=382 https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/MACRA-MIPS-and-APMs/APMs-in-The-Quality-Payment-Program-for-Shared-Savings-Program-SSP-webinar-slides.pdf
- CMS’ Technical Definition APM Includes: CMS Innovation Center model MSSP (Medicare Shared Savings Program) Demonstration under the Health Care Qaulity Demonstration Progrma Demonstration Required By Federal Law
- Oct 7, 2017 is the last day to participate in Partial year
- Special circumstances of small practices, rural areas, and non-patient facing clinicians – Can exclude a category and decrease the scale
- Base Score (Reporting) Protecting PHI ePrescribing Patient Access Patient Engagement HIE Public Health and Clinical Data Registry Reporting Performance Score Patient Electronic Access Coordination of Care through Patient Engagement HIE
- https://twitter.com/AislingMcDL/status/795738768217112576
- Out of 100 Points Exceptional Performance - $500 million
- https://innovation.cms.gov/initiatives/Transforming-Clinical-Practices/ No Virtual groups No participating if you’re excluded
- Kareo has received extensive industry recognition, including the Deloitte Technology Fast 500, Inc. 5000 and Black Book’s #1 Integrated EHR, Practice Management and Billing Vendor.