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MIPS

We guarantee your MIPS success.

Are you prepared for MIPS? Can you afford not to be? Join the athenahealth network and we will guarantee that you'll avoid MIPS penalties—or we'll credit you the amount of any resulting penalties1.
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Understanding the new Quality Payment Program – The MIPS track

The Medicare Access and CHIP Reauthorization Act (MACRA) creates a new framework for rewarding providers for better, lower-cost, patient-centered care. MACRA streamlines existing quality reporting programs into one new Quality Payment Program (QPP) with two tracks: the Merit-Based Incentive Payment System (MIPS) or Alternative Payment Model. Beginning in 2017, Eligible Clinicians5 will be required to participate in one of these two tracks.

About 90 percent of Eligible Clinicians will qualify for the MIPS track in 2017. MIPS will combine existing quality programs, Meaningful Use, PQRS, and Value Modifier and add a new category, Clinical Practice Improvement Activities. Eligible Clinicians will be scored and benchmarked against their peers. Your performance in 2017 will affect your 2019 Medicare Part B payments.

$182 million in incentives paid to our providers 2

 

All about our MIPS guarantee

We guarantee that new practices using athenaOne will avoid any MIPS payment penalties (downward fee adjustments) to their 2019 Medicare Part B fee schedule based on 2017 reporting. If we're unsuccessful, we'll credit the practice the amount of the penalty for 2017.1

Just as we've done for Meaningful Use, PQRS, and Value-based Modifier programs, athenahealth MIPS experts will design workflows to ensure client success and take on data collection and reporting. This minimizes work and risk for your practice and allows you to focus on delivering high-quality patient care.

$265 million saved across our provider network3

 

The athenahealth advantage

Backed by the largest network in healthcare, we're uniquely positioned to deliver results to our clients—starting now.

  1. Your proactive partner: Our Quality Performance team embeds program requirements seamlessly into the workflow and monitors performance to ensure success.
  2. Unmatched visibility: Our network offers visibility into our clients' performance. Clients can track performance and make changes to satisfy quality measures.
  3. Seamless attestation: We will embed Quality Payment Program requirements into the clinical workflow. This helps practices attest with ease, avoid penalties, and gain positive adjustments.
  4. Automatic optimization: We use an automatic model to optimize quality performance scores through measure selection.
  5. Reporting on your behalf: We will handle MIPS reporting so you can focus on patient care.
  6. Experience and results: At athenahealth, we have teams of experts handling value-based programs for our clients. We lead the industry with our clients' success in MU and PQRS.


1The MIPS 2017 Guarantee is only available to new athenahealth Clients that are live on athenaOne services by the date set forth in the effective services agreement between Athena and Client. Other terms and conditions apply.
22014-2016. Data current as of January 1, 2017
32014-2016. Data current as of January 1, 2017
4Based on athenahealth participating providers in 2015
5Eligible Clinicians include Physicians, Physician Assistants (PAs), Nurse Practitioners (NPs), Clinical Nurse Specialists (CNSs), Certified Registered Nurse Anesthetists (CRNAs), and groups that include such clinicians.

97.6% Meaningful Use attestation rate for athenahealth Clients4

 

Need more information?

Contact one of our experts to learn how athenahealth can help you navigate upcoming quality programs and avoid MIPS penalties.

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