MACRA and Alternative Payment Models – What You Need to Know

When it comes to alternative payment models (APMs), organizations often ask “is it better to be a Medicare Shared Savings Program (MSSP) Track 1 Accountable Care Organization (ACO) or a Patient-Centered Medical Home (PCMH)?”

Typically, the answer depends on a few factors:  organizational goals, level of readiness to adopt new delivery models, and the mix of public and private payer incentive programs.

Going forward, however, the newest factor that organizations must consider is how they want to be scored under the incentive programs created by the Medicare Access and CHIP Reauthorization Act (MACRA).  As the Centers for Medicare and Medicaid Services (CMS) prepares to release the proposed rule for MACRA, the agency has made it clear that not all organizations participating in APMs will be considered “eligible” for purposes of the law’s APM incentive program.  The statute requires that eligible APMs, those which qualify for the APM bonus payment, have the following characteristics:

(more…)

EHRA Launches Delivery System Reform Workgroup

As health IT professionals supporting hundreds of thousands of healthcare professionals across the country, we are paying close attention to the significant efforts by both government and private sector stakeholders to shift the focus of our healthcare system away from volume-driven incentives and towards value-based reimbursement.  With that shift, we’re also seeing an increasing recognition for the important role that EHRs and other health information technology tools play in achieving our shared objectives of a more efficient, effective healthcare system.

In response, the EHR Association (EHRA) has launched the Delivery System Reform (DSR) Workgroup as a source of information and education for EHRA members, and to serve as a vehicle for providing input on related Congressional and regulatory initiatives and collaborating with other industry stakeholders.

(more…)

  • Categories

  • Follow EHRA on Twitter

  • Enter your email address to follow this blog and receive notifications of new posts by email.

    Join 150 other followers

  • Contact Us

    Sarah Willis-Garcia
    EHRA Program Manager
    swillis@himss.org
    312-915-9518

    Elinore Boeke
    Communications and Media
    elinore @ kecommunications.net