MACRA / MIPS Consulting

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MIPS Data: The Finish Line is Crossed

The race is over, all the data is locked, and now we just wait for the results. The MIPS 2017 data submission period ended last week on April 3, 2018. The time for strategic planning and decision making is over. Submit on an individual or group basis? Choose this...

MIPS Data: The Finish Line is Crossed

Death of the Middleman: Healthcare & Blockchain

I’ve seen it twice before. Some new technology drops out of the sky and within a few years we are living in a different world. First, we witnessed the rise of the personal computer. In the early days it was only the nerds who saw it coming and naysayers were...

Death of the Middleman: Healthcare & Blockchain

MACRA – MIPS: Privilege and the Zero-Sum Game

Over the holidays I have been thinking a lot about the MACRA & MIPS program. Maybe too much. Something about it doesn’t sit right with me. I have had a nagging sense that there was a flaw in the program. Something about it just seems wrong. First, I must offer...

MACRA – MIPS: Privilege and the Zero-Sum Game

MACRA – MIPS: OIG Waves the Yellow Flag

The Office of Inspector General (OIG) last week released the Followup Review: CMS’s Management of The Quality Payment Program (QPP). In 2016 OIG published their initial assessment of the management of the QPP by CMS. This secondary release was to access progress...

MACRA – MIPS: OIG Waves the Yellow Flag

MIPS: Quality Measures – Let the Chooser Beware

For the 2017 MACRA & MIPS reporting year the greatest impact on an Eligible Clinician’s MIPS score will be the Quality Category. CMS provides the following instructions: “Clinicians choose six measures to report to CMS that best reflect their practice. One of...

MIPS: Quality Measures – Let the Chooser Beware

MIPS: The Day of Reckoning

One of my favorite books is The Big Short by Michael Lewis. It was eventually made into a movie by the same name and gives a clear view of the housing bubble that burst 10 years ago and pushed the US economy into the Great Recession. What fascinates me was the...

MIPS: The Day of Reckoning

The Real MIPS Timeline: 3 Stages of MACRA and MIPS

This morning when I googled “MIPS timeline” I got 174,000 results. There sure are lots of pretty charts and colorful graphs out there. Most of them will let you know when this will happen and when that will occur. When does the definition of Eligible Clinicians...

The Real MIPS Timeline: 3 Stages of MACRA and MIPS

MIPS 2018: The Die is Cast on Part B Drugs

Several weeks ago I wrote a post entitled “MIPS and Medicare Part B Drugs – Waiting for the Other Shoe to Drop”. Late last week the other shoe hit the floor with the release of the Final Rule. The issue at hand is whether an Eligible Clinician’s (EC) MIPS score...

MIPS 2018: The Die is Cast on Part B Drugs

Weather Report: MIPS, Mark Twain, and Bob Dylan

“Everybody talks about the weather, but nobody does anything about it”. I’m pretty sure Mark Twain said that. We might as well say “Everybody talks about MIPS, but nobody does anything about it”. Well, hardly anybody. I hear lots of MIPS discussion about avoiding...

MACRA MIPS and the Weather Report