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...

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 ability...

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...