Health Catalyst Recommends

MACRA / Regulatory Measures - Recently Added

Short on time? We've picked the best content for you to start with.

Bobbi Brown

The 7 Best Ways to Prepare for MACRA Today

The Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law in 2015, with major impacts starting in 2019. MACRA attempts to prioritize quality over quantity by letting providers choose between two value-based payment tracks: MIPs and APMs. Providers won’t have to choose until 2019; until then, they will receive a .5 percent annual increase.

The industry is conflicted about MACRA. On the one hand, many believe it is part of the overall shift to value-based healthcare. On the other hand, many say the administrative burden will overwhelm providers. Another area of MACRA controversy has to do with meaningful use which, contrary to what the CMS Acting Administrator said in 2016, isn’t going away with the introduction of MACRA.

Although it seems a ways away, MACRA’s base year will likely be 2017. Armed with the seven best ways to start preparing for MACRA today, and an EDW that provides clinicians with the self-service tools to monitor their performance, health systems can be ready to tackle MACRA when it finally goes into effect.

Read More
My Folder
Bobbi Brown Dorian DiNardo

Are Health Systems Ready for MACRA? Survey Reveals the Number One MACRA Concern and Varying Degrees of Readiness

The Medicare Access and Chip Reauthorization Act (MACRA) replaces a number of value-based reimbursement programs and will use 2017 as its first reporting year. But, despite being right around the corner, a survey of healthcare professionals around the country reveals only one-third are ready.

But while only 35 percent of respondents have a strategy and believe they’re prepared for MACRA, most will participate in the new program. A majority of surveyed hospitals believe MACRA will benefit their physicians (or that they’ll at least break even).

MACRA is new, complicated, and rife with uncertainties given the new administration. According to the survey, the top concern for health systems is compiling MACRA quality measures. But despite the industry’s slow movement towards MACRA, the bottom line is that it’s right around the corner, so hospitals must start preparing for MACRA today.

Read More
My Folder
Bobbi Brown Dr. Bryan Oshiro Dorian DiNardo

Preparing for MACRA: A Comprehensive FAQ for Physicians

The Medicare Access and CHIP Reauthorization Act (MACRA) overhauls the payment system for Medicare providers. It’s a complex program that requires careful study so physicians can make the best choice for how they want to report. This choice ultimately impacts reimbursement and the potential bonuses or penalties associated with each reporting option.

This FAQ covers both tracks of the new rule, the Merit-based Incentive Payment System (MIPS), and the Advanced Alternative Payment Model (APM), with a background review and a comprehensive list of questions and answers.

It’s a practical guide complete with next steps for strategic and tactical planning.

Read More
My Folder
Josh Ferguson

The Who, What, and How of Health Outcome Measures

Even though thousands of health outcome measures have the potential to impact the work we do every day, how well do we really understand them? In this article, we take a close look at the definitions, origins, and characteristics of health outcome measures. We break down the financial relevance of certain measures, the relationship between outcome measures and ACOs, and which measures impede, rather than enhance, a typical healthcare system. We review the role of an enterprise data warehouse and analytics, and we touch on the future of health outcome measures, all in an effort to provide deeper insight into some of the mechanics behind outcomes improvement.

Read More
My Folder
Jared Crapo

Why We Need to Shift Healthcare Quality Measures from Volume to Value

Healthcare quality reporting is integral to achieving the Triple Aim and improving outcomes. But the sheer volume of quality measures has become as much a part of healthcare as healing and prevention. Recently, CMS and AHIP took the unprecedented step of aligning and consolidating measures in seven care categories. This will go a long way toward reducing the amount of time physicians and staff spend every week on quality reporting, but it’s only a beginning. Healthcare’s focus needs to shift from volume to value of quality measures, such as those that concentrate on quality of life and patient-reported outcomes. The International Consortium for Health Outcomes Measurement is setting the right example for quality measures designed to actually improve outcomes rather than just processes.

Read More
My Folder

MACRA / Regulatory Measures - Additional Content

Spend time reading content for you

Meaningful Use and ACO Reporting: Why an EMR Is Only a Partial Solution

Meaningful Use and ACO reports are just two of a plethora of ever-increasing external healthcare reporting requirements. An EMR is only a partial solution due to limitations in data turnaround time, data and logic multi-purposing, and being relegated to single-vendor, homogenous environments. Learn about a solution that helps you streamline your Meaningful Use and reporting requirements and can be leveraged for clinical quality improvement, population health and predictive analytics.

Read More
My Folder

The Medicare Sustainable Growth Rate Repeal: Implications for Your Health System

The Sustainable Growth Rate (SGR) Repeal and Medicare Provider Payment Modernization Act of 2014, introduced to Congress on February 6, 2014, is a bipartisan attempt to address perceived failings of the current Medicare physician payment system, the so-called “Doc Fix.” Below, two industry experts provide commentary on the bill’s proposed changes and the implications for health systems and providers.

Read More
My Folder

From Meaningful Use to Meaningful Analytics

Guest contributor, Brian Ahier, describes the transition from “meaningful use” to meaningful analytics and achieving high-quality care. Since meaningful use is requiring greater interoperability and data sharing, there is now much greater opportunity to aggregate data at a community level and have an even broader data set than just the EHR to mine for clinical intelligence. One benefit from HIE, besides improved care coordination, is the ability to perform queries and apply analytical tools to those data that were not previously available. The five health outcomes policy priorities included in meaningful use are: 1. Improve quality, safety, efficiency and reduce health disparities 2. Engage patients and families 3. Improve care coordination 4. Improve population and public health 5. Ensure adequate privacy and security protections for personal health information

Read More
My Folder

6 Surprising Benefits of Healthcare Data Warehouses: Getting More Than You Expected

Recently, I invited a group of my colleagues to share some examples of unexpected benefits they had witnessed at healthcare organizations that feature powerful, thriving EDW initiatives. The number of responses I received was overwhelming; more than I could possibly hope to include in one blog post. With a goal of hopefully sharing all of them within a continuing series, here are some excerpts, reprinted with permission and in the words of the “EDW Elders” within our company. These include 1) negotiating with insurance companies, 2) Stage 1 Meaningful Use self-certification, 3) data quality issues, 4) financial data comparisons, 5) EMR user log data, and 6) employee satisfaction data.

Read More
My Folder

The Best Solution for Declining Medicare Reimbursements

I am one of the brave souls who takes the time to read the report issued each spring by the Medicare Payment Advisory Commission (Medpac). The report shows the numbers of Medicare beneficiaries and claims are growing; healthcare organizations are increasingly losing money on Medicare; payment increases certainly will not keep pace with declining margins; and Medicare policies will continue to incentivize quality and push providers to assume more risk. But the report also reveals that some healthcare organizations—referred to as “relatively efficient”—are making money from Medicare with an average 2 percent margin. How do you become one of these organizations? And how do you target and counter Medicare trends that impact your business?

Read More
My Folder