Total Per Capita Cost (TPCC) methodology proposed for the CY 2019 Physicians Fee Schedule

CMS continues punishing Geriatric, LTPAC, and Palliative Medicine for serving the frail elderly nearing the end of life. This blog explores the systematic problems with existing methods for correctly predicting expenditures; as individuals approach the end of their lives. It’s based on comments we submitted to CMS on the draft 2019 Physician Fee Schedule. America … Click to continue reading

Impressions from the 2018 LTPAC HIT Summit

ONC & CMS are mandating Interoperability – as soon as they have a definition… This year’s Summit was refreshing – more protein, less cotton candy. Drs. Kate Goodrich[i] (CMS) and Don Rucker[ii] (ONC) delivered the mornings’ keynote addresses. Each painted a more solid vision for the future that anyone from those two DHHS arms has … Click to continue reading

A MIPS Success Story: How We Did It!

Barnes Healthcare Management, LLC, may not love MIPS; but they were “excited” about reporting their 2017 data. And why not? They’ve got their documentation, tracking, and reporting functioning like a well-oiled machine; and they achieved a nearly perfect score for the year. Tracking and reporting on quality measures wasn’t new to them. They had previously … Click to continue reading

Empowering Practice Managers and Practitioners Alike to Thrive in Value-Based Purchasing World

MIPS, MACRA, ACOs, I-SNPs, EHRs, A-APMs. Dealing with the alphabet soup of new requirements, programs, practice models, payment systems, and more are all part of post-acute and long-term care (PA/LTC) physician practices. Those that minimize the significance of these do so at their own peril; and, in this new paradigm, balancing the business and the … Click to continue reading

1st LTPAC Medical Group to earn CMS ‘High-Quality’ status! How an analysis of 2016 Quality Resource and Use Reports (QRUR) can guide better MIPS strategies

Collaborative Geriatrics of Katy, TX is the first LTPAC medical practice I know that’s received the CMS designation as ‘High-Quality’ under its Value Based Purchasing scheme.  There are many medical groups that deliver high quality care, but that is fundamentally different than having the organizational ability to successfully report quality measures across the group, and … Click to continue reading