MACRA eLearning Series

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) repeals the Medicare sustainable growth rate (SGR) methodology for updates to the physician fee schedule (PFS) and replaces it with a new approach to payment called the Quality Payment Program that rewards the delivery of high-quality patient care through two avenues: Advanced Alternative Payment Models (Advanced APMs) and the Merit-based Incentive Payment System (MIPS) for eligible clinicians or groups under the PFS.The first performance year for Quality Payment Program began in January 2017.

 

In this e-learning series we will cover the overview of the Quality Payment Program, requirements for the transition year 2017 and how to maximize your performance under the new Payment Model.

 

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Presenter:

Arnaz Bharucha

Sr. Technology Officer
Software Architect
R & D Lead - Quality Improvement
Read more!

MACRA eLearning Series Part:1 (December-2016)

Topic – MACRA- Let’s Break It Down and Understand the Final Rule and Its Effects on Reimbursement in 2017
Schedule: December 15, 2016, 3:00 PM to 4:30 PM EST

Session Overview

The MACRA timeline is approaching and the performance measures will go into effect in 2017. You need to get up to speed on how this complex program will impact your organization. Let our experts help you navigate the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and get the tools you need to move into the next phase of participation for the Quality Payment Program that will help your organization to make a smooth transition to value-added care.

Some of the key areas this Session will explore include:

  • Understand What’s Changed
  • Know Your Eligibility
  • How MACRA changes reimbursements?
  • Tips to ensure your success

Speakers
Nehal Ramani, Rajesh Mandaviya and Sijo George, iPatientCare, Inc.


MACRA eLearning Series Part:2 (January-2017)

Topic – MIPS Performance Category: Improvement Activities
Schedule: January 26, 2017, 1:00 PM to 2:00 PM EST

Session Overview

In Part 2 of this e-learning series we will cover Improvement Activities which is one of the four Performance Categories under MIPS (Merit based Incentive Payment System). Improvement activities is a new scoring category which supports broad aims within healthcare delivery, including care coordination, beneficiary engagement, population management, and health equity.

In this session, we will cover:

  • Overview of Improvement Activities
  • Sub-Categories under Improvement Activities
  • Requirements for the Transition Year
  • Scoring Mechanism for Improvement Activities
  • Improving your Improvement Activities Performance Category Score

MACRA eLearning Series Part:3 (February-2017)

Topic – MIPS Performance Category: Getting the most out of Quality Performance Category
Schedule: February 23, 2017, 1:00 PM to 2:00 PM EST

Session Overview

In Part 3 of this eLearning series, we will focus on the Quality Performance Category. Quality Performance Category, which replaces PQRS, evaluates eligible clinicians’ performance on clinical quality measures and accounts for 60% of your MIPS Score.

In this session, we will cover:

  • Overview of Quality Performance Category
  • Differences between PQRS and MIPS Quality Performance Category
  • Requirements for the Transition Year
  • Scoring Mechanism for Quality
  • How to maximize your Quality score for MIPS

MACRA eLearning Series Part:4 (March-2017)

Topic – MIPS Performance Category: Advancing Care Information
Schedule: March 23, 2017, 1:00 PM to 2:00 PM EST

Session Overview

In Part 4 of this elearning series we will cover Advancing Care Information (ACI) which is one of the four Performance Categories under MIPS (Merit based Incentive Payment System). ACI, which replaces Meaningful Use incentive program, evaluates eligible clinicians on their use of health information technology. ACI accounts for 25% of your overall MIPS score.

In this session, we will cover:

  • Overview of Advancing Care Information
  • Requirements for the Transition Year
  • Scoring Mechanism for Advancing Care Information
  • How to maximize your ACI score for MIPS

MACRA eLearning Series Part:5 (April-2017)

Topic – MIPS Performance Category: Cost
Schedule: April 27, 2017, 1:00 PM to 2:00 PM EST

Session Overview

In Part 5 of this e-learning series, we will cover Cost which is one of the four Performance Categories under MIPS (Merit based Incentive Payment System). Cost replaces Value-based modifiers and measures eligible clinicians on the cost of patient care. Cost will not be scored in 2017, but CMS will still provide the feedback in the Quality and Resource Use Report (QRUR). We will also cover how to obtain your QRUR reports and understanding your QRUR reports.

In this session, we will cover:

  • Overview of Cost Performance Category
  • What is a Cost Measure?
  • Why is Cost Measures Important?
  • Types of Episode Groups
  • Scoring Mechanism for Cost
  • Understanding your QRUR
  • How to maximize your Cost score for MIPS

MACRA eLearning Series Part:7

Topic: MIPS Participation – Individual vs Group
Schedule: June 22, 2017, 1:00 PM to 2:00 PM EST

Session Overview

MIPS (Merit-based Incentive Payment) is one of the pathway under MACRA QPP which streamlines multiple quality reporting programs and provides payment adjustments to eligible clinicians based on their performance. Under MIPS you can report as an Individual or a Group. In Part 7 of this e-learning series we will explore both the options and provide guidance on choosing the right option.

In this session, we will cover:

  • Overview of MIPS
  • Understanding Eligibility & Payment Adjustments for Individual and Group
  • Group Participation Requirements
  • Performance Category Differences
  • Data Submission Mechanisms
  • Selecting the best option

MACRA eLearning Series Part:8

Topic: Proposed changes for MIPS and APMs in 2018
Schedule: July 27, 2017, 1:00 PM to 2:00 PM EST
Schedule: July 27, 2017, 1:00 PM to 2:00 PM EST
Presenter from CMS: Benjamin Chin Read more!
Presenter from CMS: Dr. Lemeneh Tefera Read more!
Presenter from CMS: Lisa Marie Gomez Read more!
Presenter from iPatientCare: Arnaz Bharucha Read more!

Session Overview

Speakers from the Centers for Medicare and Medicaid will provide an overview of the Quality Payment Program with a focus on Alternative Payment Models (APMs). The presentation will also address proposed changes for 2018 for the Merit-Based Incentive Payment System (MIPS) and APMs.

In this session, we will cover:

  • Introduction to Advanced Alternative Payment Models (APMs)
  • Criteria for Advanced Alternative Payment Models (APMs)
  • Qualifying APM participant
  • APM scoring standard
  • MIPS APMs
  • Other Payer Advanced APMs
  • Proposed Changes for MIPS in 2018
  • Proposed Changes for APMs in 2018

Don’t miss this opportunity to learn more about MACRA changes!




Presenter from CMS:

Benjamin Chin

Benjamin Chin is a graduate of Rutgers University is currently a policy analyst specializing in health care policy working for the Center for Medicare and Medicaid Innovation. Prior to joining CMS, Ben worked at the Thailand Institute of Justice in Bangkok, Thailand as a Henry Luce Scholar where he conducted research on alternatives to incarceration for drug involved offenders throughout the ASEAN region. Ben has also worked for Abt Associates and the Substance Abuse and Mental Health Services Administration prior to working for CMS.



Presenter from CMS:

Dr. Lemeneh Tefera

Dr. Lemeneh Tefera, who goes by “Tef,” received his Doctor of Medicine from the University of Southern California School of Medicine and then completed an emergency medicine residency at Kings County Hospital in Brooklyn. He continued in academic medicine where he held faculty appointments at Mount Sinai Hospital, Montefiore Hospital, and Beth Israel Medical Center- all in New York City. In addition to his urban ER clinical experience, he worked as a visiting doctor in Australia, England, Saudi Arabia, New Zealand, the United Arab Emirates, and volunteered with Doctors Without Borders in Haiti. His work abroad developed into an interest in comparative health delivery systems that inspired him to return to graduate school. At the London School of Economics and Political Science, Dr. Tefera studied both health and behavioral economics with a keen interest in how monetary and non-monetary incentives impact provider behavior. Prior to joining the Centers for Medicare and Medicaid Services (CMS), Dr. Tefera served as the Health Policy Fellow for Senator Jeanne Shaheen who sits on the Appropriations Subcommittee covering Health and Human Services. His role was as a clinical expert and advisor helping to brief the Senator on a wide range of health policy issues. At CMS, Dr. Tefera serves as a Medical Officer and policy advisor for the group that runs CMS’s value-based purchasing programs and the new Merit-Based Incentive Payment Systems (MIPS). He also leads prescription opioid policy and advises on the new sepsis measure for the Center for Clinical Standards and Quality (CCSQ). In addition to his policy work, Dr. Tefera still practices in the ER and is an Adjunct Associate Professor of Emergency Medicine at the George Washington University.


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Presenter from CMS:

Lisa Marie Gomez

Lisa Marie Gomez began her federal career with the U.S. Department of Health and Human Services in 2010 to serve as a subject matter expert for the Office of the Secretary and the Center for Consumer Information and Insurance Oversight (CCIIO) under the Centers for Medicare and Medicaid Services (CMS) where she was responsible for the establishment and implementation of policies pertaining to the Affordable Care Act. She developed policies that established eligibility, certification standards for states to create and operate Health Insurance Marketplaces, and requirements for issuers offering qualified health plans that are made available through a state's Health Insurance Marketplace. In addition to policy development, Lisa Marie established the eligibility and verifications components of the electronic exchange of data between the Department and other federal agencies, state Medicaid programs, 50 states, and the District of Columbia; and led the development of a multi-dimensional metric data analytics system for HealthCare.gov. In 2015, Lisa Marie joined the CMS Center for Clinical Standards and Quality (CCSQ) as a subject matter expert establishing and implementing policies pertaining to the Medicare Access and CHIP Reauthorization Act (MACRA). For the Merit-based Incentive Payment System (MIPS) under the Quality Payment Program, she leads policies pertaining to clinician eligibility and exclusions, group and virtual group participation, and the CMS Web Interface submission mechanism. Lisa Marie earned a Master in Public Administration from the Harvard Kennedy School of Government and a Master of Public Health from the Harvard T.H. Chan School of Public Health.

 


speaker1

Arnaz Bharucha

Sr. Technology Officer
Software Architect
R & D Lead - Quality Improvement


Speaker Bio

Arnaz has been associated with iPatientCare for more than 17 years. Passionate about Quality Improvement Initiatives in Healthcare, she is the guiding force behind the Quality Improvement Consulting Group and has participated in various FACA workgroup meetings and providing comments on various rule-making. A Senior Technology Officer and Software Architect, she is actively involved in understanding the requirements of Meaningful Use, ONC Certification, MACRA and other quality reporting initiatives and architecting a highly robust and scalable application to enable healthcare providers to provide optimal care to their patients without worrying about the additional overheads for the quality reporting. One of her most significant contribution has been the robust Enterprise Quality Reporting Engine and the Meaningful Use Dashboard which churns out the Clinical Quality Measures for MU, PQRS, PCMH and other quality reporting and incentive initiatives, which is now expanded to include the MIPS reporting.

 

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