Ep. 36 Need-to-Know MIPS Updates

01/24/23 • 29 min

Healthcare costs are a constant concern for payers, and the CMS is no exception. Quality care mitigates excessive costs, and the Merit-based Incentive Payment System (MIPS) is a CMS initiative designed to increase preventive care efforts by rewarding top performance. By carrying out the prescribed care quality criteria with excellence, providers can earn a bonus payment – falling short of scoring thresholds results in a penalty.

But this program is not static, as the CMS will update the program’s parameters periodically. Coming changes to MIPS scoring are published at the end of each calendar year in what is called the “final rule.” Another area where the CMS is discretionary is the Extreme and Uncontrollable Circumstances (EUC) hardship provision for impacts related to COVID-19.

The final rule is extremely long with a tremendous amount of information to comb through. Want to cut to the chase and hear the most significant changes? We’ve got you covered. In this episode, hosted by Rebekah Duke, our MIPS Quality Expert Missi Thomas shares the final rule updates every MIPS participant should be aware of, plus more information about the EUC hardship exemption that has been granted for one more year.

This podcast is for MIPS participants and those who are considering it in the future. But what is also relevant to such providers is the Accountable Care Organization (ACO). Medical Advantage now offers an ACO to support value-based care providers, including help with the downside risk associated with MIPS. Email us at [email protected] for more information.

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Previous Episode

Ep. 35 The Truth Behind Clinician Burnout

In many industries, the prevailing advice for burnout is to take time off or take more breaks. For many clinicians, suggestions like these indicate a lack of understanding of why healthcare professionals end up with burnout. Within days of coming back from a vacation, the provider will go right back into thoughts of quitting. Within minutes of driving home from the office, the provider will realize they could have left on time if they didn't take a lunch break.
In this podcast, we put in the spotlight the broad-ranging impact burnout has on all levels of care beyond clinicians themselves. The clinician's family, patients, support staff, managers, and sometimes even the executives can feel the detrimental effects of a provider's burnout. We also explain why more technology isn't likely to help, but why a "practice redesign" is.
Host Celina DeFigueiredo-Dusseau and Vice President of Growth Chad Anguilm have a frank discussion about the state of burnout, its primary causes, and how some proposed solutions are more feasible than others. They also talk about what clinicians are thinking and feeling while on the road to burnout.

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Next Episode

Ep. 37 "Best of" Episode: Optimizing Risk Adjustment

Optimizing Risk Adjustment is one of our most downloaded episodes. In case you missed it, we are running it once more.
Tune in for a conversation with two of Medical Advantage’s very own risk adjustment experts, Angela Hale and Kyle Enger, to learn more about what risk adjustment in healthcare is, how it works, and strategies for optimizing risk adjustment. Topics include risk scores, the importance of capturing a population’s score accurately, the meaning behind acronyms like HCC, RAF, RADV, and more – not to mention the way Medical Advantage’s consultants are working hand-in-hand with organizations today to optimize their risk adjustment techniques. Have questions? Email us at [email protected] for more information.

Hosted on Acast. See acast.com/privacy for more information.