decisionhealth Newsletters, Part B News - 2016 Issue 10 (October)
5 tips from QPP final rule to prepare for the first year of MIPS
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Article Overview
This article reviews early implementation considerations from the Quality Payment Program final rule and explains why they matter for practices preparing for Medicare quality reporting under MIPS. It discusses broad themes such as public performance reporting, care coordination partnerships, participation status under alternative payment models, cost awareness in referrals, patient management concerns, and patient-centered medical home strategy. The piece is intended for clinicians, practice leaders, and coding or reimbursement professionals who need a high-level view of operational and compliance implications.
Why This Topic Matters
The article helps readers understand how the first year of MIPS could affect practice visibility, reporting obligations, coordination efforts, referral patterns, and care management strategy. It is relevant to organizations trying to anticipate how the Quality Payment Program may influence operations and participation decisions.
Article Sections
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Public reporting of quality scores
Discusses the shift toward public performance visibility and broader patient-facing reporting under the Quality Payment Program.
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Care coordination and potential care partners
Covers practice relationships and coordination-oriented activities that may support readiness for quality reporting programs.
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Advanced APM participation and QP status
Summarizes the distinction between participating in an advanced payment model and qualifying for a preferred participation status under the program.
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Cost awareness and referral patterns
Addresses the growing importance of cost considerations and how referral behavior may affect practice exposure under future measurement periods.
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Managing non-compliant patients and PCMH readiness
Reviews patient management issues, compliance concerns, and the relationship between patient-centered medical home workflows and quality program success.
What You Will Learn
- How the Quality Payment Program final rule may affect practice visibility and reporting
- Why care coordination relationships can matter for program preparation
- What broad participation-status distinctions are discussed in connection with advanced payment models
- How referral and cost awareness fit into future quality measurement considerations
- Why patient management and patient-centered care models are highlighted in the article
Who Should Read This
- Physicians
- Practice managers
- Reimbursement professionals
- Quality reporting staff
- Healthcare administrators
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