Performance ImprovementPQRS ReportingValue-Based Health CareValue-Based Payment Modifier
February 23, 2016

Don’t Hit the Medicare Revenue Wall: What You Must Know About 2016 PQRS-VBPM Benchmarks

What will it take for health care providers actually to focus on improving patient outcomes, while keeping costs under control? CMS has structured quality reporting under the Value-Based Payment Modifier (VBPM) to reward providers who surpass PQRS measure benchmarks, and penalize those who lag behind. But inherent in the new quality tiering is a serious dilemma: a strong incentive to game the system, rather than to improve performance in any meaningful way. Here’s why: For three-quarters of the individual measures included in these benchmarks, it is statistically impossible to surpass your peers’ performance. The only way to differentiate performance is…
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ACO ReportingClinical Data RegistryMeaningful UseQualified Clinical Data Registry ReportingSpecialized RegistryValue-Based Health Care
February 15, 2016

ICLOPS Specialized Registry Now Open: Don’t Miss 2-29 Deadline for Active Engagement in 2016 MU Public Health Reporting

Attention, Eligible Providers and Hospitals looking for a Specialized Registry to meet public health reporting requirements in Modified Stage 2 of Meaningful Use: ICLOPS is open for business. ICLOPS Specialized Registry services will support both Eligible Providers, regardless of specialty, and Eligible Hospitals, plus all eCQMs. Since CMS finalized the modifications to the Meaningful Use program in October 2015, providers have been scrambling to find information on public health reporting options. While some providers are already connected to their specialty registries or to state and local immunization registries, many Eligible Providers have been without options for meeting this requirement. There is…
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Clinical Data RegistryMedical Decision-MakingPerformance ImprovementRegistry ScienceResearchValue-Based Health Care
February 9, 2016

Plenty of Data, Not Enough Answers: What We Need to Improve Health Care Performance

If you read the industry hype, you might believe that we’ve left the data wasteland for the data land of plenty. Some health care technology and analytics companies allege that, with all this enhanced data capability, you can now discover everything you need to know about your operations and patients that will lead you to higher profitability. But if that’s so, why are health care costs continuing to increase? Why are providers still not able to succeed under risk-based payment models? Why don’t we know more about what actually works to improve patient outcomes? It’s true that we have access…
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ACO ReportingAlternative Payment Models (APM)Clinical Data RegistryFuture of Health CareMeaningful UseMerit-Based Incentive Payment System (MIPS)Performance ImprovementRegistry ScienceResearchValue-Based Health Care
February 2, 2016

All Together, Now: Why Specialists Need the CDR Edge for Bundled Payments

With the advent of Bundled Payments for selected procedures and conditions, providers and institutions must collaborate to meet both cost and quality targets. No longer will each provider bill and receive payment separately for services when these bundles become mandatory—as most experts believe will happen. All providers participating in a set “bundled” price must focus on coordinated performance improvement or face penalties. Key to that effort: a Clinical Data Registry (CDR) that tracks patient outcome data over time and pinpoints success or failure of interventions. CDR Performance Improvement Tools Are Essential for Bundled Payments Success The CDR fulfills two fundamental…
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