Best Practices Academy

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Quality Performance

The value-based reimbursement model requires performance on several key areas, quality, resource use, clinical practice improvement activities, and use of an EHR.

Why ‘Value-Based’?

Value is important in the health care system. Insurance payers and states are increasingly rewarding practitioners who provide improved patient care and cost savings. The patient-centered medical home (PCMH) model of care – one in which care is centrally coordinated and tracked by one primary care provider – has become the standard by which primary care can achieve better patient care and lower costs.

Medicare’s New Quality Payment System

 

MACRA, MIPS, & Chiropractic: Medicare’s New Quality Payment System

This is a 5 part online course defining how Doctors of Chiropractic can participate in the new Quality Payment Program as defined by the Medicare Access and CHIP Reauthorization Act 2015 (MACRA) Law: the Merit-Based Incentive Payment System (MIPS) and the Advanced Alternative Payment Model (APM). The MACRA law outlines the requirements and timeline regarding Medicare payment system changes, with the performance year as identified in the proposed rule beginning January 2017. This course gives an overview of this law and will offer information about performance standards and how to achieve these standards for reimbursements in the future.

 

MACRA Toolkit: Quality Payment Program

Best Practices Academy will be sure your practice is ready to migrate from fee-for-service to the new value-based payment system. The MACRA law outlines the requirements and timeline regarding Medicare payment system changes, with the performance year as identified in the proposed rule beginning January 2017. This 10 module on-demand series provides a detail explanation of the new payment system and how the chiropractic physician can implement appropriate activities and work processes that support performance in a value-based payment system.

 

Practice Recognition Program

Now, more than ever, patients can choose how—and where—they receive care. NCQA’s Patient-Centered Connected CareTM Recognition program supports clinical integration and communication, creating a roadmap for how your practice delivers patient-centered care—but do not act as the primary care provider. The program focuses on meeting standards that demonstrate effectively communicating and connecting with primary care and aligns you into the medical home “neighborhood”..

 

Care Coordination Program

Must have completed Quality Payment Performance Program or Practice Recognition Program first.

The end game for reducing fragmentation in care delivery hinges on successful models for care coordination and collaboration.  BPA clients who have achieved practice recognition in programs such as the PCCC position their practices for meaningful referral relationships with allopathic primary care providers.

BPA makes a best effort to position the practice for referrals and growth by facilitating key relationships through health plan and health system sponsorships, integrated learning activities and sustaining your PCCC recognition (virtual and face to face settings; i.e. seminars, clinical case conferences), and ongoing client quality assurance/improvement activities.