Professional conferences are a necessity that continues to be relevant in every industry including the healthcare industry. One of the top conferences in the healthcare industry is the Hasummit. So if you’re thinking HAS 2018: Should I Attend? The answer is yes. The hassumit for this year is said to be one of the best with lots of top industry speakers. The conference will also be covering many technical and regulatory topics that are current and relevant in the healthcare industry.
HASummit 2018 will Discuss MACRA
With the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), CMS did away with the SGR. Now, they are able to reward high value, high-quality Medicare clinicians with payment increases – while at the same time reducing payments to those clinicians who aren’t meeting performance standards.
CMS seeks to improve Medicare by helping clinicians focus on caring for their patients rather than filling out paperwork. CMS will continue to listen and take steps towards reducing burdens for clinicians and improving health outcomes for Medicare patients.
Clinicians have two tracks to choose from in the Quality Payment Program based on their practice size, specialty, location, or patient population. These two tracks will be discussed extensively in the HASummit conference so attendees have a better understanding of what to expect and this will help them make a better decision.
- Merit-based Incentive Payment System (MIPS) or
- Advanced Alternative Payment Models
MIPS (Merit-based Incentive Payment System)
How It Works: There are four performance categories that make up your final score. Your final score determines what your payment adjustment will be. These categories are:
This performance category replaces PQRS. This category covers the quality of the care you deliver, based on performance measures created by CMS, as well as medical professional and stakeholder groups. You pick the six measures of performance that best fit your practice.
Advancing Care Information
This program replaces the Medicare EHR Incentive Program, commonly known as Meaningful Use. In this performance category, you choose measures to advance the productive use of the healthcare information you create. This is done by proactively sharing information with other clinicians or the patient in a comprehensive manner. This may include: sharing test results, visit summaries, and therapeutic plans with the patient and other facilities to coordinate care.
This is a new performance category that includes an inventory of activities that assess how you improve your care processes, enhance patient engagement in care, and increase access to care. The inventory allows you choose the activities appropriate to your practice from categories such as, enhancing care coordination, patient and clinician shared decision-making, and expansion of practice access.
This performance category replaces the VBM. The cost of the care you provide will be calculated by CMS based on your Medicare claims. MIPS uses cost measures to gauge the total cost of care during the year or during a hospital stay. Beginning in 2018, this performance category will count towards your MIPS final score.
APM (Alternative Payment Model)
How It Works: An Alternative Payment Model (APM) is a payment approach that gives added incentive payments to provide high-quality and cost-efficient care. APMs can apply to a specific clinical condition, a care episode, or a population.
In the Advanced APM track of the Quality Payment Program, you may earn a 5 percent incentive for achieving threshold levels of payments or patients through Advanced APMs. If you achieve these thresholds, you are excluded from the MIPS reporting requirements and payment adjustment.
If you’re in a specific type of APM called a “MIPS APM” and you are not excluded from MIPS, you may be scored using a special APM scoring standard. The APM scoring standard is designed to account for activities already required by the APM. For example, the APM scoring standard eliminates the need for MIPS clinicians to duplicate submission of Quality and Improvement Activity performance category data and allows them to focus instead on the goals of the APM.
Most Advanced APMs are also MIPS APMs so that if an eligible clinician participating in the Advanced APM does not meet the threshold for sufficient payments or patients through an Advanced APM in order to become a Qualifying APM Participant (QP), thereby being excluded from MIPS, the MIPS eligible clinician will be scored under MIPS according to the APM scoring standard.