Allscripts Vice President of Government Affairs Leigh Burchell and I represented Allscripts and 2bPrecise on January 6 at a select executive roundtable of the healthcare industry’s top leaders, invited by Vice President Joe Biden. We discussed improving patient access to their information, both broadly and within the context of cancer care Vice President Biden raised some great questions and shared his thoughts about increasing the ability of patients to access and share their clinical information, improving access to data and using genomic information of populations to find trends for optimized treatment. In response to the sometimes passionate conversation during the meeting, we followed up afterwards with recommendations for Vice President Biden and the Cancer Moonshot team: 1. Require information sharing with patients. Some provider organizations see great risk in sharing comprehensive information with their patients, concerned about how uninterpreted results can […]

After many months of debate and years of more broadly discussing some of the related concepts, the 21st Century Cures Act (H.R. 34) passed the House and Senate last week, and was signed by the President today. It is a massive piece of legislation, 996 pages in length, and it will have a tremendous impact on medical innovation across the health sector. The law’s primary objectives are to speed new medicines to market through a wide-ranging number of adjustments to the FDA’s work, the clinical trial process and the work of the National Institutes of Health (NIH). But the legislation also includes several important sections that address health IT, including the bulk of the Title IV – Delivery section, which recognizes that delivery reforms are reliant on health IT to move forward. While there are elements of the new law […]

Editor’s note: MACRA stands for the Medicare Access and CHIP Reauthorization Act of 2015, and is Medicare payment reform that goes into effect Jan. 1, 2017. The associated Quality Payment Program (QPP) is the regulation that will shift the reimbursement model from volume-based payments to a more comprehensive value-based framework. In this MACRA 101 blog series, Jim Brulé dives into the details of the two tracks within the QPP, the Merit-based Incentive Payment System (MIPS) and the Advanced Alternative Payment Models (APMs). Participants that choose the optional APM track are agreeing to higher risk but also have the potential for higher potential reward than their counterparts in the default MIPS track. The APM track relies on a category of risk-based payment models with shared characteristics. These models require Certified Electronic Health Record Technology (CEHRT), use quality measures similar to MIPS and […]

Editor’s note: MACRA stands for the Medicare Access and CHIP Reauthorization Act of 2015, and is Medicare payment reform that goes into effect Jan. 1, 2017. The associated Quality Payment Program (QPP) is the regulation that will shift the reimbursement model from straight fee for service to a more comprehensive value-based framework. In this MACRA 101 blog series, Jim Brulé dives into the details of the two tracks within the QPP, the Merit-based Incentive Payment System (MIPS) and the Advanced Alternative Payment Models (APMs). The Centers for Medicaid and Medicare (CMS) estimates that of the 712,000 Medicare Eligible Clinicians (ECs) that will participate in the QPP, about 87% will default to the MIPS track in the initial years. It has lower risk but also lower incentives, as it was crafted by Congress to ultimately be the less attractive option. Calculating […]

MACRA, which stands for the Medicare Access and CHIP Reauthorization Act of 2015, was legislation that reformed the Medicare payment system to help lower the cost of health care, while delivering better quality and improving health outcomes. It represents a huge change – it creates a more comprehensive value-based framework for payment and combines different quality-based measures into one system. In October, the Center for Medicare and Medicaid Services (CMS) issued the final rule for the new Quality Payment Program (QPP) following direction from the MACRA, and it goes into effect Jan. 1, 2017. As we get closer to this regulatory program, here are some key points to consider: While 2017 is a transition year, Medicare Eligible Clinicians (ECs) must take action to avoid a penalty. CMS anticipates that more than 700,000 Medicare ECs will participate in the QPP. ECs […]

Following every election cycle, the United States experiences a change in policy and direction. During his campaign, Donald Trump said little about his plans for health IT, precision medicine or delivery system reform, so it will take some time for us to have a real sense of his administration’s thoughts on these subjects. Since his election, I’ve already had many conversations with healthcare policy experts. Insights from these discussions include: 1) Interoperability – Continues to be a priority Congress remains interested in monitoring success with healthcare interoperability and the possibility of legislative action, including attention to further standards development.  Congress will also be paying close attention to the implementation of the MACRA, gauging whether it is successfully driving the adjusted behavior from clinicians that they are seeking. 2) MACRA – Adjustments may take place, but the core program will remain consistent […]

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Advancing patient-centered practice transformation

  • Dr. Ramanujam (Ram) Venugopalan, BHMS, MHA, PCMH CCE, PGDMLS
  • 11/07/2016

Healthcare market dynamics are shifting toward value-based care. For primary care practices seeking patient-centered care and the associated financial incentives, the Patient-Centered Medical Home (PCMH) model is the sweet spot. As sweeping delivery system reform kicks off in 2017, practices can look forward to a clear regulatory roadmap to align their efforts with the PCMH model and succeed in their journey to becoming truly patient centered. Increasing focus on patient-centered care Early attempts to define the framework for PCMH date back to the 1960s, with the goal of offering patient-centered, family-oriented and family-coordinated care delivery to families. Years of experience related to success of this model has led to the formation of many recognition programs. Today’s National Committee for Quality Assurance (NCQA) PCMH program is a widely known offering to recognize practices demonstrating patient centeredness. As of July 2015, NCQA […]

This week I testified before the United States House of Representatives. It was an honor to represent the healthcare IT industry and share how innovations are driving efficiencies and improvements. Here are excerpts from that testimony: Despite some bumps in the road, as can be expected in times of change, there have been huge leaps forward in our industry in recent years that never would have happened had Congress not provided the impetus for ubiquitous adoption of electronic health records (EHRs). These changes have disrupted paper systems that stood for decades, and the result is a new digital ecosystem of caregivers, software developers and patients, allowing all to take a fresh look at how processes can be enhanced via automation. Fortunately, following disruption, there is innovation and opportunity. Allow me to provide a few examples: Allscripts dbMotion™ interoperability platform brings […]

Editor’s Note 12/2/2016: In October, the Center for Medicare & Medicaid Services (CMS) issued MACRA’s QPP Program’s final rule, which goes into effect Jan. 1, 2017. Allscripts is committed to helping healthcare organizations stay ahead of these upcoming requirements. Read more here: MACRA 101: We have the final rule for the QPP…now what? Last week The Centers for Medicare and Medicaid (CMS) Acting Administrator Andy Slavitt issued an official blog post announcing proposed reporting options for the Quality Payment Program (QPP), the program stemming from the Medicare Access and CHIP Reauthorization Act (MACRA), for program year 2017. The intent of these options is to give participants more flexibility during the initial year of this significant program. For 2017, the blog post identifies four options: 1) Submit “test” data to CMS for any period of time within 2017. Choosing this option will […]

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A beginner’s guide to MACRA

Editor’s Note 10/31/2016 – Earlier this month, the Center for Medicare and Medicaid Services (CMS) issued MACRA’s QPP Program’s final rule, which goes into effect Jan. 1, 2017. Allscripts is committed to helping healthcare organizations stay ahead of these upcoming requirements. Join a webinar overview on MACRA QPP, updates from the final rule and what organizations should be doing now to prepare. Hospitals and health systems can click here to register, physician practices can click here to register. Read more here: MACRA 101: We have the final rule for the QPP…now what? MACRA is perhaps the most significant piece of proposed healthcare regulation I’ve ever seen. We’ve had a series of webinars to help clients understand the key points, and distilled them here in a Q&A format. What is MACRA? MACRA stands for the Medicare Access and CHIP Reauthorization Act of 2015. […]