Maine Medicine Weekly Update - 04/01/2019  (Plain Text Version)

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In this issue:
•  Defendant in Aroostook County Jail Should Remain on MAT, Court Says
•  CMS Urged to Adopt Better Cost Measures in MIPS
•  Northern Maine Medical Center Among Top 20 Rural Hospitals in US
•  Public Health Updates from the AMA
•  Governor Ends 24-month Prior Authorization Requirement for MAT
•  Webinar: Estate Planning 101 - Managing Risks to Your Wealth
•  Photos from Physicians' Day at the Legislature 2019
•  Boards Seek Comments on Proposed Rule for Office-based Treatment of Opioid Use Disorder
•  MMA Legislative Call Tuesday, April 2nd
•  State House Highlights of the Week: HCIFS Committee Hears Bills on Insurance Coverage for Abortion, Prudent Layperson Standard, Lead
•  Upcoming Specialty Society Meetings
•  Motivational Interviewing and SBIRT - Sat 4/6 in Biddeford
•  NAMI Maine’s Beyond the Basics in Suicide Prevention Conference - Friday, April 12, 2019
•  22nd Maine Pain Symposium on May 1 8am-4:30pm at University of New England
•  BC/BE Family Medicine Physician or Experienced Family Nurse Practitioner
•  Physician for Maine Maritime Academy Summer Training Cruise
•  Internal Medicine Outpatient Physician
•  Mid Coast Maine - Adult Psychiatrist and/ Psychiatric NP/PA Opportunity
•  Family Medicine Opportunity in Beautiful Western Maine
•  PCHC in need of Pediatrician for Brand New Pediatric Center!
•  Medical Director - Maine Mobile Health Program
•  Board Certified Family Physician - Newport, RI
•  Psychiatric Mental Health NP - Leeds
•  Outpatient Internal Medicine Physician – Bangor, Maine
•  Opportunities at the VA for Volunteer Physicians
•  Volunteer Opportunity with Partners for World Health


CMS Urged to Adopt Better Cost Measures in MIPS

The AMA encourages CMS to improve cost measures in MIPS, including the removal of the Total Per Capita Cost (TPCC) measure.


The AMA urged CMS to evaluate physicians in the Merit-based Incentive Payment System (MIPS) on episode-based cost measures that have a stronger correlation with costs that are within physicians' control and to remove the Total Per Capita Cost (TPCC) measure from MIPS, at least until significant issues with the measure are resolved. Necessary improvements include further validity testing, improved attribution methodology, increased reliability and the ability for physicians to review their data in a timely manner and make changes based on the data received.

In response to concerns about TPCC, CMS recently undertook revisions to the measure. The AMA appreciates CMS' willingness to refine cost measures as problems are identified. However, the revised TPCC measure does not address underlying concerns about the measure's validity and raises new problems with the attribution methodology. The multi-stakeholder Measures Applications Partnership (MAP), which provides input to CMS on measures for use in performance-based payment programs, gave a recommendation of "do not support the revised TPCC measure with the potential for mitigation" for use in MIPS. It would be a bad precedent to move forward despite the MAP's recommendation or before the key issues identified with the TPCC measures are resolved.