Reimbursement Update to the HUSKY Health Primary Care Increased Payments Policy
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By Robert M. Tennant, MA, and Jennifer McLaughlin, JD
On April 27, 2016, the Centers for Medicare & Medicaid Services (CMS) released a highly anticipated proposed rule outlining physician payment reforms as required by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). The proposed rule includes key guidelines for the new Merit-Based Incentive Payment System (MIPS) and alternative payment models (APMs) that will take effect as early as 2017.
MGMA developed this checklist to provide practice executives with action steps to prepare their organizations for the transition to MIPS and APMs. We encourage practice leaders to consider a long-term strategy for the move from fee-for-service to value-based reimbursement by taking steps that not only make sense within the MIPS and APM framework, but that also have an independent benefit for the practice, such as collecting and using patient satisfaction information or extending office hours to generate additional revenue.
To help members anticipate and prepare for changes as Medicare transitions from fee-for-service to value-based reimbursement, MGMA created a number of practical resources that you can access today.