PYA has released a new white paper detailing the requirements of the new Medicare Merit-Based Incentive Payment System (MIPS) in a straightforward, easy-to-follow format.
A new white paper from PYA, “MIPS Mastery™: Optimizing Performance Under the Merit-Based Incentive Payment System,” provides a thorough explanation of the MIPS program and highlights the strategic decisions providers face in maximizing their performance under this new value-based reimbursement program.
The first MIPS performance period starts on January 1, 2017. A physician’s (or non-physician practitioner’s) scores, measured in four categories—quality, resource use, advancing care information, and clinical practice improvement activities, will determine his or her composite performance score, expressed as a number from 1 to 100. In addition to impacting a provider’s Medicare payments, beginning in 2019, this score will be publicly reported, affecting the provider’s reputation among payers, patients, and other providers.
According to the paper, “Given that MIPS brings fundamental changes to the Medicare physician payment system to incentivize quality and efficiency, healthcare professionals should anticipate investing significant time and effort into fully understanding the new rules. And, with that understanding, providers and provider organizations can begin making strategic decisions regarding measure selection, performance improvement activities, internal tracking, and reporting mechanisms to protect and maximize future reimbursement.”
PYA’s MIPS Mastery™ program cuts through the regulatory complexity to bring a common-sense approach to the MIPS challenge. MIPS Mastery™ is a facet of PYA’s Population Health Ascend suite of products designed to assist providers in the transition to value-based reimbursement. PYA’s seasoned team of professionals delivers MIPS Mastery™ program content in an engaging manner, tailors engagements to organizations’ specific needs, and utilizes both an in-depth understanding of practice operations and a focused approach to data analytics to help optimize performance.
