Welcome to the world of MACRA! In this video webinar the EHR team explains the difference between MIPS and APM as well as the requirements they have. Changes from existing programs (MU & PQRS) happening in MIPS are discussed and suggestions for practice work flow to meet the requirements are provided. The team proposes some tips & tricks to stay on top of the game and keep track of your performance progress.
What’s the MACRA Quality Payment Program?
The MACRA QPP will help us to move more quickly toward our goal of paying for value and better care. The Quality Payment Program has 2 paths:
APMs: Alternative Payment Models
MIPs and APMs will go into effect over a timeline from 2017 and beyond.
What’s the Merit-Based Incentive Payment System (MIPS)?
The MIPS is a new program that combines parts of the Physician Quality Reporting System (PQRS), the Value Modifier (VBM or Value-Based Payment Modifier), and the Medicare Electronic Health Record, known incentive program, known as Meaningful Use (MU) into one single program in which Eligible Professionals (EPs) will be measured on:
Clinical practice improvement
Advanced Care Information
What are Alternative Payment Models (APMs)?
APMs give us new ways to pay health care providers for the care they give Medicare beneficiaries. For example:
From 2019-2024, pay some participating health care providers a lump-sum incentive payment.
Increased transparency of physician-focused payment models.
Starting in 2026, it offers some participating health care providers higher annual payments.
Here is a link to a site that the work shop also talks about:
For questions on the Merit-Based Incentive Payment Systems (MIPS) or Advanced Alternative Payment Model (APM) route, please call 800-955-0321, option 1.