Winning the CJR Game with Patient-Reported Outcome Data
CJR is a game. PRO data will help you win. My dad advised me that if you play, play to
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Articulating Value in Value-Based Payment Opportunities
Collecting and storing PRO data for use in assessing performance, identifying best practices and negotiating value-based payment arrangements is an activity with a very high ROI.
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How to be Successful with Bundled Payments with Dr. Kevin Bozic
Today our system is primarily fee for service, which incentivizes over-utilization based on intensity and volume of services. Conversely, the full-risk, or global, capitation model, incentivizes under-treatment. “Where we need to be,” says Bozic, “is the epicenter of value.
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Orthopedic Payment Models: MIPS, APMs, Bundles, and More
A lot has been going on in Washington in the first half of 2017. Despite the uncertainty of the future of our healthcare system, there’s one thing the majority of orthopedic thought leaders agree on: value-based care is here to stay.
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Holy MACRA! CMS Proposes New Rule to Exclude 134K Clinicians from MIPS Participation
CMS has proposed changes to exclude physician practices from MACRA participation and quality reporting that have either less than $90,000 in Medicare revenue or fewer than 200 Medicare patients per year.
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The argument against mandatory bundled payments: does it hold up?
Voluntary vs. Mandatory? What will happen in the near future? Oh, bundled payments. In a fee-for-service model, a hospital is
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SNEAK PEEK: This Year’s Perioperative Care Boot Camp
What we love about this conference is it’s designed to bring all the leaders in a patient’s care team together.
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Executive Reading List: 5 Benchmarking Articles You Don’t Want to Miss
What are your peers doing with benchmarking? We’ve put together a benchmarking reading list for five different perspectives to consider.
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In The News: CMS Delayed Bundled Payment Initiatives, Here’s What You Need to Know
There’s been speculation for months, but now it’s official. CMS issued a final rule to push back mandatory implementation of bundled payment initiatives for cardiac care, along with the expansion of Comprehensive Care for Joint Replacement (CJR) to include hip and femur fractures, to January 1, 2018.
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In the News: MIPS Exemptions Grow to More Than 800,000
If there’s one thing that’s certain in healthcare, especially right now, it’s that everything is uncertain.
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Merit-Based Incentive Payment System (MIPS)
The Medicare Access and CHIP Reauthorization Act (MACRA) passed by Congress in 2015, removed the Sustainable Growth Rate (SGR) assessment used to control Medicare spending. This change removed the requirement of Congress voting on and authorizing changes to the physician fee schedule. The Physician Quality Reporting System (PQRS) transitioned into the Quality Payment Program (QPP). Medicare now rewards high-value, high-quality Medicare clinicians with payment increases – while at the same time reducing payments to those clinicians who are not meeting performance standards.
Merit-Based Incentive Payment System (MIPS) Read Post »
In the News: CMS Delays Bundled Payments – What it Means for Your Organization
In April of 2016, The Centers for Medicare and Medicaid Services (CMS) mandated bundled payments as a part of the Comprehensive Care for Joint Replacement (CJR) model, which holds hospitals financially accountable for the quality and cost of a CJR episode.
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