Enhancing MIPS Quality Scores and Revenue Through Preventative Care

THE CHALLENGE

Baptist Medical Group and Baptist Urgent Care recognized the opportunity to increase the number of patients receiving recommended primary and preventative care screenings, essential for reducing the risk of diseases, disabilities, and death.

THE SOLUTION

Baptist uses its data platform and Health Catalyst MeasureAble™ to monitor and quantify performance to ensure patients receive necessary primary and preventative care.

The organizations use the application to determine the number of care gaps that need to be closed and improve the effectiveness of pre-visit planning. Baptist identifies why there are gaps in care and implements improvements and workflow changes to close them. The organizations can visualize the impact of workflow changes on care gaps, including the expected impact on Merit-Based Incentive Payment System (MIPS) performance.

THE RESULT

Using MeasureAble, the organizations identified and closed care gaps, meaningfully improving MIPS performance, population health outcomes, and revenue for Baptist Medical Group and Baptist Urgent Care.

• Baptist Medical Group achieved a 96 percent overall quality score. 100 percent performance rate for four measures.
• Baptist Urgent Care achieved a 79 percent overall quality score. 100 percent performance rate for five measures.

“Using MeasureAble, we can optimize preventative care—and improve outcomes and financial performance.”

Jennifer Swann, MHA, MLS (ASCP), Health Care Data Analyst II, Baptist Health Care

ADDITIONAL READING

• Data-Informed MIPS Improvement Efforts Drive Improved Quality Scores and Increased Revenue
• MVPs Demystified: Streamline MIPS Reporting with MIPS Value Pathways in 2024
• A Complete Guide to MIPS Quality Measures
• How to Streamline MIPS Reporting and Boost Quality, Unlocking ACO Success
• Empowering ACOs: Leveraging Quality Management Tools for MIPS and Beyond Webinar