MSSP has been amazingly resilient program through the pandemic. Needing only minor tweaks. All we asked for was to not send the government money not for the gov’t to send our ACOs money. Same idea for quality changes. Good ideas, but not this year 1/
CMS proposed two major things: Consolidate measures down to 6 total and switch from a reporting methodology based on Medicare samples to all patients all payer electronic reporting 2/
Dec 1, 2020 • 10 tweets • 2 min read
Another thread on telehealth. Important to realize that CMS has been clear that without a public health emergency they cannot waive the rural restriction only Congress can. 1/
CMS is pushing to the absolute limit with implementation of category 3 and extending all the way through 2021. With the amazing vaccine news the COVID-19 PHE will be over before Jan 1, 2022. Telehealth has been amazing tool for the pandemic. aledade.com/covid-19/teleh… 2/
Dec 1, 2020 • 8 tweets • 2 min read
Starting a proper thread on the 2021 physician fee schedule for the revaluation of the E&M. The largest increase in primary care reimbursement in two decades. 1/
Since the RVU concept was created procedure codes have both proliferated in number and their initial valuations have been sticky so efficiencies are captured as profits to proceduralists instead of coming down as costs have come down 2/
Mar 9, 2020 • 7 tweets • 2 min read
CMS finalizes admission, discharge, transfer notification as a condition of participation. cms.gov/files/document… page 463 This is the biggest stick in the closet. Why it was necessary and why it will work for hospitals 1/
First and foremost it is directly related to patient safety. Transitions are dangerous and there is no excuse for them to happen in the dark. Second, ADT is the easiest data exchange out there by a mile. High impact, low barriers 2/
Aug 9, 2018 • 25 tweets • 5 min read
Diving into the new #ACO#MSSP rule. s3.amazonaws.com/public-inspect…
So right off the bat we are talking about a July 1, 2019 start where existing ACOs would extend their current contracts six months and new entrants wouldn't start till July 1. This is disruptive hopefully they left the door open to a Jan 1 start.
