Officials from the CMS (Centers for Medicare and Medicaid Services) on the day of Wednesday claimed physicians should hope meaningful use of EHRs to still be needed under coming changes to how CMS pays them under MACRA.
The declaration came during a HIMSS16 listening session concentrated on the latest Merit-Based Incentive Payment System
Kate Goodrich, MD, director of CMS’ Center for Clinical Standards and Quality, claimed that CMS expects to issue the rules in the next few months after accumulating feedback from physicians across the country.
“Our intent is to have a single, unified program,” she claimed, while at the similar time providing flexibility and ignoring a 1-size-fits-all access. “We know physician practices are very distinctive from one another.”
Goodrich could not share details since CMS is still in the rulemaking level, but she did give a broad overview.
The recent rule will reimburse physicians deployed on 4 factors, grading them with a composite performance score factoring in their quality measures (30%), resource use (30%), clinical practice improvement tasks (15%) and meaningful use (25%).
Toward its objective of consolidating CMS reporting rules while extending the number of contributors engaging in value-based tasks, the Medicare Access and CHIP Reauthorization Act paves the path for eligible experts to take part in quality programs through either MIPS or other alternative payment models like ACOs (accountable care organizations), patient-centered medical homes or bundled payments.
MIPS and APM incentive payments are set to start on Jan. 1, 2019.
Separate payment adjustments under the Physician Quality Reporting System, Value-Based Payment Modifier and the meaningful use program will sunset on the day of Dec. 31, 2018, in accordance to CMS.
Meaningful use will yet be a core component of the program, claimed Molly Macharris, MIPS program lead at CMS. At the occasion, she sought feedback on whether the performance score for technology should be deployed solely on complete accomplishment of meaningful use, or whether CMS should utilize a tiered methodology for determining stages of achievement.
Other queries involved what alternate methodologies the organization should think for the technology performance category, and how should hardship exemptions be treated.
The emerging MIPS framework is “our vision for a future state,” claimed Godrich.
“It will consume time to get there,” stated Goodrich. “And we will merely be successful if we listen carefully.”
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