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...

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 a...

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 made...

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: The Day of Reckoning – Chapter 2 – The Fine Print

Earlier this week I published a post entitled MIPS: The Day of Reckoning. That screed covered my thoughts on the predictability and inevitability of the impact of the first MIPS scores being publicly released in 2018. I will not bore you with how important those...