QIN-telligence Blog

QIN-telligence Blog Want to stay on top of the Quality Payment Program (QPP), enacted by MACRA? The New England QIN-QIO’s regional team – consisting of boots-on-the ground, state-based team members – offers you monthly musings about the QPP. Along with our team members, we feature articles from subject-matter experts and thought leaders nationwide.

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Click on the titles below to read our most recent blog posts.

Should You Be Participating in the Quality Payment Program?

You may have heard that the Centers for Medicare & Medicaid Services (CMS) is reviewing claims and letting practices know which clinicians should take part in the Merit-based Incentive Payment System (MIPS). MIPS is an important part of the new Quality Payment Program. Are you included in the Quality Payment Program? Here are 8 ways to know.

SWOT Analysis for Successful MIPS Reporting

SWOT Analysis is a strategic tool widely used by many industries, including healthcare. SWOT stands for Strengths, Weaknesses, Opportunities, and Threats. This analysis technique was developed by Albert Humphrey, a senior researcher at Stanford University in 1960s. He analyzed data from top companies with the goal of figuring out the reasons why corporate planning failed … Continue reading SWOT Analysis for Successful MIPS Reporting

What You Need to Know About the Advancing Care Information Performance Category

As part of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), the EHR Incentive Program (also known as Meaningful Use) will sunset and be replaced with the Advancing Care Information (ACI) performance category under the new Quality Payment Program. The Advancing Care Information category is weighted as 25% of the final score. Eligible … Continue reading What You Need to Know About the Advancing Care Information Performance Category

Healthcentric Advisors Chosen to Provide
CMS Quality Payment Program Support for Small Practices throughout New England in Partnership with Qualidigm

PROVIDENCE, RI (March 9, 2017) – The Centers for Medicare & Medicaid Services (CMS) awarded a five-year federal contract to Healthcentric Advisors and its partner organization, Qualidigm, to assist New England-based small physician and other eligible clinical practices to prepare for and participate in the new Quality Payment Program (QPP), established by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).

Scoring the MIPS Quality Category

To understand your potential Merit-based Incentive Payment System (MIPS) payment adjustment, you’ll want to be familiar with the essential elements of the scoring methodology. If you choose to fully participate in the Quality Payment Program (QPP) under the MIPS payment model, you’ll be reporting on a minimum of six quality measures for the entire year. Each quality measure percentage is converted to a decile which then corresponds to a range of possible points.

Mulling Over MACRA?

Are you scratching your head trying to figure out where you should start with the Quality Payment Program? Look no further, the New England Quality Innovation Network-Quality Improvement Organization (NE QIN-QIO) has tools and resources available for you or your practice. Do you have more in-depth questions about program requirements, inclusion/exclusion criteria or how to report? Learn about a new feature on our website where you can receive direct assistance from the NE QIN-QIO QPP Expert in your state or review some popular questions.