The Centers for Medicare & Medicaid Services has officially opened the data submission period for Merit-based Incentive Payment System (MIPS) eligible clinicians who participated in Year 2 (2018) of the Quality Payment Program.
New Innovations in Technology Promote Patient Access and Could Make Health Data Exchange a Reality for Millions
On Monday, February 11, 2019, the Centers for Medicare & Medicaid Services and the Office of the National Coordinator released proposed rules to support seamless and secure access, exchange, and use of electronic health information.
CMS recently completed a large-scale effort to provide new Medicare cards without Social Security numbers to people with Medicare. The new cards support the agency’s work to protect personal identity and reduce fraud and abuse.
CMS has updated the “Explore Measures” tool on the Quality Payment Program website for the 2019 performance period. The website now includes 2019 Merit-based Incentive Payment System (MIPS) measures and activities for the four performance categories.
The Health Plan Identifier is designed to furnish a standard way to identify health plans in electronic transactions. The Health Plan Identifier is a standard, unique health plan identifier required by the Health Insurance Portability & Accountability Act of 1996 (HIPAA). Check out these FAQs.
Pathways to Success – this new direction for the Shared Savings Program redesigns the participation options available under the program to encourage Accountable Care Organizations (ACOs) to transition to performance based risk more quickly and, for eligible ACOs, incrementally, to increase savings for the Trust Funds.
Access to Quality and Resource Use Reports and PQRS Feedback Reports Available Until December 31, 2018
The final performance period for the Value Modifier and PQRS programs was 2016 and the final payment adjustment year is 2018. Therefore, the Quality and Resource Use Reports and PQRS Feedback Reports will no longer be available after the end of 2018.
The U.S. Department of Health and Human Services, through CMS, announced and sought input on a new “International Pricing Index” (IPI) payment model to reduce what Americans pay for prescription drugs.
The final 2019 Physician Fee Schedule (PFS) and the Quality Payment Program (QPP) rule released. And CMS finalized innovative changes to the Medicare payment rules for Durable Medical Equipment Prosthetics, Orthotics, and Supplies and the End-Stage Renal Disease programs.
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