(Medicare Access & CHIP Reauthorization Act)
In October, The Centers for Medicare & Medicaid Services (CMS) released the final rule for MACRA, altering how Medicare reimburses clinicians and their practices. It emphasizes quality, value, and clinicians taking more financial risk.
TSI Healthcare® is here to help you navigate through the murky waters of federal regulations.
Be sure to check out our other resources:Informational Webinars MACRA Webinar MACRA Blog Series Download MACRA Infographic
What’s The Big Idea?
With a stronger emphasis on quality, value, and bigger financial risk, there are three key areas MACRA seeks to address.
Sustainable Growth Rate
Shifts from Volume to Quality
Shift from fee-for-service
Quality Payment Program
MACRA’s Quality Payment Program will allow providers to select between two quality payment program.
- Combines Meaningful Use, PQRS/CQMs & VBM
- Measures Providers On:
- Advancing Care Information (Use of EHR)
- NEW Improvement Activities
- Cost (coming in 2018)
- Financial Implications
- Can Receive Negative or Positive Payment Adjustments Based On MIPS Score
- Can Earn Up to 22% Bonus (for exceptional performers) Or 4% Max Penalty
- Must Require Certified EHR Use
- Must Base Payment On Quality Measures Comparable To MIPS Quality Category
- Must Bear Financial Risk
- Financial Implications:
- Must Bear Financial Risk
- Can Earn 5% Bonus
MIPS will begin in 2017 as its first performance year with payment adjustments beginning in 2019.
MIPS Program Overview
MIPS combines MU, PQRS, and VBM to measure clinicians in four different categories. The new quality program structure increases emphasis on PQRS while decreasing it on Meaningful Use.
More Exciting News
MACRA proposes more exciting reporting and data submission options.
Webinar: MACRA 101
With multiple new additions for reporting categories and options to participate in either MIPS or Advanced APMs, practices are encouraged to watch this webinar to learn more about the new payment structure.
Introducing Quality Program Services
Overwhelmed by MACRA and MIPS? Stress no more!
TSI Healthcare’s revolutionary new approach to federal policy assistance provides you with the next level of
regulatory assistance and client advocacy.
"I just want to tell you how much I greatly appreciate the continued support from the TSI Healthcare team. All that is being required by CMS is a huge undertaking, and I know we could not accomplish these tasks without the assistance from your company. Thank you."Donna Baker, Office ManagerAtlantic Pulmonary Associates
"As government regulations continue to evolve, TSI Healthcare remains current regarding the changes and always keeps us informed in a prompt manner."Ana Reyes-CartagenaArthritis & Rheumatism Associates, M.D.
"The biggest challenge that we faced before starting with TSI Healthcare was meeting Meaningful Use. I was a bit concerned about our practice because we had missed one year of Meaningful Use money already. It was one of the driving factors for selecting them as a vendor, and they have helped us achieve that."Robert Collins, Director of OperationsBoston Laser Eye Institute, P.C.
"We have had to do almost nothing for Meaningful Use, it just happens. So, it's been a piece of cake for me."John C. Huntwork, MDJohn Huntwork, MD