Infographic: Are Specialty Practices Prepared for MACRA?

Monday, September 18th, 2017
This post was written by Melanie Matthews

A growing number of specialty physicians, comprised mainly of oncologists and urologists, recognize that clinical, financial and operational changes are needed to be successful under value-based healthcare reimbursement models stemming from MACRA regulations. However, the majority has not yet invested in organizational, IT, or service improvements needed to achieve them, according to a new study by Integra Connect.

A new infographic by Integra Connect highlights the survey findings, including details on the barriers to MIPS success and practices’ plans to optimize MIPS success.

Under CMS’s “Pick Your Pace” choices for Year 1 Quality Payment Program participation, physician practices may opt for the minimum activity necessary to avoid a payment penalty in 2019 by simply submitting some data in 2017.

However, instead of delaying MACRA participation to the later part of this year, physicians should prepare and better position themselves today for MIPS success by analyzing their existing CMS data on their practices’ performance and laying a path now toward performance improvement.

Physician MACRA-Readiness: Mining QRUR and Other CMS Data to Maximize MIPS Performance describes the wealth of data analytics available from the CMS Enterprise Portal–Quality Resource Use Reports (QRURs) and other reports providing a window into practice performance under the Merit-Based Incentive Payment System (MIPS). MIPS is one of two MACRA reimbursement paths and the one where most physician practices are expected to align.

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