Winter 2017
Greater Charlotte Healthcare Executives Group (GCHEG) Quarterly Newsletter Winter 2017
In This Issue
President's Message
Greetings from your Chapter President
Membership and Advancement
Congratulations New Fellows!
Welcome New GCHEG Members
ACHE National News
National News Q4 2017
North Carolina Regent Message
Message from Your ACHE Regent
Career Articles
Bring Out the Most in Your Employees: 10 Tips for Managers
GCHEG Member Submitted Articles
2017 GCHEG Scholarship Winners Announced
Scholars Selected for ACHE's Thomas C. Dolan Executive Diversity Program
White Men as Full Diversity Partners
Young Health Leaders Summit
MACRA: The Quick Facts
Attitude Starts with Leadership
A Pledge to Excellence in Healthcare Leadership
Optimizing Your Potential: Healthcare Careerist Panel and Discussion Event
Articles of Interest
Ransomware Tops List of Health Technology Safety Hazards
Upcoming Events
2018 Day of Service
Staying Connected
Engaging with GCHEG on Social Media
Email deliverability
Ensure delivery of Chapter E-newsletter (Disclaimer)
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GCHEG Member Submitted Articles
MACRA: The Quick Facts
Submitted By: Carol A. Beehler, FACHE, CPHQ, NEA-BC, RN

 

At the Triangle Health Executives Forum (THE) Fourth Annual Transformative Care Summit – panel moderator, Heather Jacobson, MHA, MS, Duke Health Population Health Management Office was kind enough to put together this brief fact sheet on MACRA (Medicare Access and CHIP Reauthorization Act of 2015).  The Summit was held September 25 and panel participants included Carol Beehler (GCHEG), Jennifer Gasperini, (National Association of ACO’s) and Dr. John Paat, Duke Health Clinic.  The resources provided at the end of this article will assist you and your physicians in navigating this new ruling.

MACRA: The Quick Facts

The passage of the Medicare Access and Children's Health Insurance Program (CHIP) Reauthorization Act of 2015 (MACRA) supports an ongoing transformation of health care delivery by furthering the development of new Medicare payment and delivery models for physicians and other clinicians.

MACRA changes to how Medicare reimburses:

  • Ends Sustainable Growth Rate (SGR) formula
  • Creates a new approach to paying clinicians for the value and quality of care they provide
  • Ends payment adjustments associated with PQRS, Value-based Payment Modifier and Meaningful Use
  • Streamlines 3 existing quality reporting programs into one system
  • Adds a fourth component to promote ongoing clinical improvement and innovation

MACRA will implement these changes through a unified framework called the Quality Payment Program.

Quality Payment Program (QPP)

The Quality Payment Program includes two paths:

  • Merit-based Incentive Payment System (MIPS)
    • With MIPS providers will earn a payment adjustment based on evidence-based and practice-specific quality data. Information on the following MIPS categories will be submitted as part of MIPS reporting:

  • Advanced Alternative Payment Models (APMs)
    • An 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. For example, Medicare Shared Savings Program-Track 1 Accountable Care Organization (ACO) is an APM.
    • Advanced APMs are a subset of APMs, and let practices earn more for taking on some risk related to their patients' outcomes. Providers may earn a 5% incentive payment by going further in improving patient care and taking on risk through an Advanced APM. This includes, but is not limited to ACOs such as Next Generation, Medicare Shared Savings Program -Track 2 and Medicare Shared Savings Program -Track 3.

Who is affected by MACRA?

Medicare Part B clinicians or groups billing more than $30,000 a year AND providing care for more than 100 Medicare patients a year. These clinicians include:

Additional Resources:

https://qpp.cms.gov/

https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/MACRA-MIPS-and-APMs/MACRA-MIPS-and-APMs.html

http://www.aafp.org/practice-management/payment/medicare-payment.html

CMS Webinars: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/MACRA-MIPS-and-APMs/Quality-Payment-Program-Events.html

CMS Training Videos: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/MACRA-MIPS-and-APMs/Quality-Payment-Program-Training-Videos.html

 

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