Able Health


MIPS vs. APM track in 2017: Where will you fall under MACRA?

This post was updated based on the Quality Payment Program final rule on October 20, 2016. The Centers for Medicare and Medicaid Services (CMS) has included two tracks as part of the Quality Payment Program under MACRA, starting in 2017. These include the Merit-Based Incentive Payment Program (MIPS) track and the Advanced Alternative Payment Model […]

By Able Health on August 17, 2016


MIPS Payment Adjustment: How the Merit-Based Incentive Payment System will impact your payments

The Merit-Based Incentive Payment System (MIPS) is a budget-neutral Medicare payment program under MACRA, which means that the total upward and downward adjustments will be balanced so that the average change is 0%. Although the first MIPS payment adjustment will not occur until calendar year 2019, the first MIPS performance period will begin on January […]

By Able Health on August 17, 2016


Merit-Based Incentive Payment System (MIPS) Reference Sheets

This post was updated based on the Quality Payment Program final rule on October 20, 2016. The Merit-Based Incentive Payment System (MIPS) is part of the new Quality Payment Program under MACRA and combines requirements previously included in three separate programs administered by the Centers for Medicare and Medicaid Services (CMS): the Physician Quality Reporting […]

By Able Health on August 11, 2016


In Nevada, ACA reforms drive value-based care, healthcare innovation

It has been over six years since the Affordable Care Act (ACA) was passed by Congress, but many states are still feeling the positive impacts through the growth of innovative healthcare payment programs, expanded coverage, and improved healthcare quality. In Nevada, this is no exception as the state has embraced the changes that have come […]

By Able Health on August 4, 2016


MIPS Composite Score 101: How you will be scored under the Merit-Based Incentive Payment System

The Merit-Based Incentive Payment System (MIPS) is part of the new Quality Payment Program under MACRA and combines requirements previously included in three separate programs administered by the Centers for Medicare and Medicaid Services (CMS): the Physician Quality Reporting System (PQRS), the Medicare EHR Incentive Program (Meaningful Use), and the Value-Based Payment Modifier. In the […]

By Able Health on June 30, 2016


Five questions about MACRA, MIPS, and APMs that you haven’t asked…but should

The Centers for Medicare and Medicaid Services (CMS) recently released a proposed rule that outlines steps for implementing MACRA legislation, and the agency is taking comments from the public through the end of this month. To help shed light on some of the more confusing aspects of the proposed rule, Able Health has compiled a […]

By Able Health on June 13, 2016


Louisiana doctors face hurdles as Healthy Louisiana & MACRA regs are implemented

This year has brought a lot of changes to healthcare systems around the country, and this is especially true in states that are taking advantage of ACA regulations to expand Medicaid. For physicians and provider organizations, this may mean balancing larger patient populations that require more coordinated care with value-based payment programs being implemented by […]

By Able Health on May 18, 2016


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