MACRA Registry© Quality Registry Reporting System

 

MACRA, Medicare Access and CHIP Reauthorization Act of 2015, is the new framework for rewarding providers for giving better care.  The Centers for Medicare and Medicaid Services’ (CMS) Quality Payment Program has two parts: the Merit-based Incentive Payment System (MIPS) and the Advanced Alternative Payment Models (Advanced APMs). Both mechanisms focus on moving from payment for volume to payment for quality / value, and non-participation will result in reductions in reimbursement.

 

MIPS collapses three existing quality reporting programs into one, while adding a fourth category:

 

  1. PQRS, becomes Quality under MIPS, and requires eligible clinicians to report certain quality measures on an annual basis.

 

  1. Value Based Modifier Payment becomes Resource Use under MIPS, and compares costs to treat similar care episodes and clinical condition groups across practices.

 

  1. Electronic Health Record Incentive becomes Advancing Care Information under MIPS, and retains an emphasis on interoperability and information exchange.

 

  1. Clinical Practice Improvement Activities (CPIA), which rewards practices that engage in quality improvement activities, including for their Medicaid and other non-Medicare patient populations.


E*HealthLine's qualified registry assist in determining MIPS eligibility and familiarizes administrators with the current quality measures necessary to prepare for reporting effective, January 1, 2017.   Streamlining reporting assists in identifying high-risk populations, and ultimately improves the clinical practice’s management processes.



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