The Evolution of Alternative Payment Models
Kelly Cronin – Director, Office of Care Transformation, Office of National Coordinator of Health Information Technology
The evolution of health Information Technology capabilities and data infrastructure will be necessary for scaling alternative payment models. This session will provide an overview of the future health Information Technology needs, the role of MACRA and near-term opportunities for providers and vendors.
Medicare Payment Reform
30% Alternative Payment Models ahead of schedule in 2016 – 1 year early.
CMS will continue to test new models.
ACOs
Bundled Payments
Advanced Primary Care
MIPS – Merit-based Incentive Payment System
or
APMs – Advanced Alternative Payment Models
Most clinicians will be subject to MIPS
MIPS: 4 Performance Categories.
Quality
Resource Use
Clinical Practice Improvements
Advancing Care Information
All merge in to MIPS Composite Performance Score (CPS)
Payment = 50% Quality, 25% Advancing Care Information, 15% Clinical Practice Improvements, 10% cost
5% Lump sum bonus is separate from MIPS
Financial Rewards ar based on +/- 4% rising to +/-9%
Advanced APMs must use certified technology.
Payment based on Quality
[category News, Health]
[tag health, cloud, ONC, opendata, hdpalooza, blue button, CM4H16]
Mark Scrimshire
Health & Cloud Technology Consultant
Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://2.healthca.mp/1b61Q7M
email: mark@ekivemark.com
Stay up-to-date: Twitter @ekivemark
Disclosure:
I am currently HHS Entrepreneur-in-Residence and CMS BlueButton Innovator working on an assignment to update BlueButton for Medicare Beneficiaries.
The views expressed on this blog are my own.
I am also a Patient Engagement Advisor, CTO and Co-Founder to Medyear.com. Medyear is a powerful free tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today.
Medyear: Less Hassle, Better Care.
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