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Quality Payment Program Field Guide

Infographic: Demystifying MIPS, an overview

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SOOOOO.... payment and health database scores start with 60% weight on quality; 0% on cost, and quickly evolves to 30% quality and 30% costs, Is this a not so subtle way to implement RATIONING and selective panels for higher reimbursments??? It seems it would benefit a provider to limit their panels of patients to low risk, low utilizers and give them excellent care. When is there going to be a component of patient responsibility in the system ?? Can we deny care to smokers in our panels ??
Name: 
JR morgan
Email: 
jrmcentral-hwc@yahoo.com
One of the main problems that I see with such programs is that they are all set up for primary care physicians. Now, this would be fine if the rest of us weren't held to the same requirements in order to avoid being penalized. Some specialties, like pain management, do not do blood work except to check BUN or INR levels depending on how the patient is being treated and the only urine testing is pregnancy and drug screening. There is just no way that we can meet the criteria offered or am I missing a big part of the program?
Name: 
LL Tin
Email: 
SOUTHERNPAINCONTROLCENTER@GMAIL.COM
YESSS I agree you are set up to fail if not general phys
Name: 
T
Email: 
MVILLENEURO@YAHOO.COM
Analytical minds, like those of physicians, are often set adrift in a sea of questions and feel difficulty in accepting new ideas. Their irrational reaction is to throw sand on the fire, and stomp and move on, with a negative impression. Let's say you do work with a higher percentage of patients who have Hgba1c over 8, even over 10. Well, the quality in the care of these folks will come from the percentage that improve. We have a given population patients, and think of them as existing in some state of health prior to our care for them. Now, think of measuring the difference after we care for them. That is just a little different than the concept of making them all well (ie tip-top). It is the concept of starting a dialogue, and making improvements. It includes continuing to keep regular follow up visits and possibly, justifying more fees, since more office visits will be insinuated. If this sounds corrupt to force patients to make up for new CMS policy, by coming to see your more...tell them about the health issues that they are neglecting instead of bringing the new payment policies into their conversation. Also, the improvement activities, (care coordination) do have an impact on what is the final adjudication of receiving better or worse payments. Basically, nose to grindstone and stay competent. Your recognition will come and you don't need to feel you're being cheated before the system has even been rolled out. Having said that...it is an analytic mind that projects worst-case scenarios. Quite intelligent, actually. This is a case of, "we are not in a position to hold power over the decisions about how we're payed, so let's live with it."
Name: 
Bruce McFarland
Email: 
brucedamon@comcast.net
Very well said. CMS has every right to control and analzye spend. Just wish it was easier for the providers. Their eating 5% just trying to figure it out I'd bet.
Name: 
Amanda Ratliff
Email: 
amanda_ratliff@yahoo.com
We can trust CMS to use this program to meet Government goals and it will be yet another ring in the nose to lead health care providers to pass through a one-way gate to Single Payor Hades. Should we celebrate our EMR enabling our acquiescence to this pathway?
Name: 
Robert D Peterson MD
Email: 
rpeterson@suddenlinkmail.com
Single payor is the way of the future. If you really care about people then medicare for all is the way to go
Name: 
pam
Email: 
perff@earthlink.net
A curious game The only way to win is not to play
Name: 
Tom Davis MD FAAFP
Email: 
tom@tomdavisconsulting.com
Agree, I'm glad that I chose direct care three years ago. I spend more time taking care of patients and less time thinking about MIPS. Surprisingly, my Medicare population has grown since leaving my previous practice.
Name: 
Jeff Davis
Email: 
Jeff@prairiehealthwellness.com
I guess full participation is not an option for me because it's July 15 and I've only now become aware of this by accident mind you. I just happen to notice the "MIPS Dashboard" selection on my AthenaEMR Quality tab (which wasn't there 3 weeks ago when I last generated my QM reports.
Name: 
Raj
Email: 
Rajesh.harrykissoon@csmedcenter.com
Raj, if you look above at the 2017 "Pick your pace" options, you can see that reporting anything keeps you neutral (no reward, no penalty). But reporting for 90 consecutive days could get you a small reward. If you need help, CMS has a network of Practice Transformation Networks that offer support at no cost to you.
Name: 
doug
Email: 
dougpatten@gmail.com
Not everyone is required to participate. We are a very small office and are not required. You have to see over 100 medicare patients in a year and be paid over $30,000 by medicare for a year. I am still keeping a close eye on requirements because we are close to that threshold. For our situation, we will not be penalized nor will we be rewarded.
Name: 
Rebecca
Email: 
imidocwife@comcast.net

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Infographic: Demystifying MIPS, an overview