Need to Know: Claims-based reporting for PQRS in 2016

It is that time of year again—time to start thinking about reporting for the Physician Quality Reporting System (PQRS). With MIPS penalties set to start in CY 2019, the final year of payment adjustments under the Physician Quality Reporting System will come in CY 2018 and will be based on data reported during this year. […]

By Able Health on January 20, 2016


Stay on top of 2016 deadlines for IHA Value Based P4P

When you think about California, you may think only of people having fun in the sun—but the state takes healthcare quality improvement very seriously. The Integrated Health Association (IHA) Value Based Pay-for-Performance (P4P) program has been operating for almost 15 years and includes 10 health plans and over 200 California physician organizations caring for over […]

By Able Health on January 18, 2016


Navigating the deadlines of PQRS 2016: wrapping up 2015 reporting and preparing for the new year

The Physician Quality Reporting System (PQRS) is a notoriously complex program that Medicare physicians are required to participate in or they face between 4%-6% penalties on future reimbursements. Quality improvement programs, including pay-for-performance programs and pay-for-reporting programs like PQRS, are especially difficult for navigate in the early months of each new calendar year, because typically […]

By Able Health on January 18, 2016


California: How do you measure up to HEDIS quality rates for IHA Value Based P4P?

As some may say, the West Coast is the best coast—at least when it comes to healthcare pay for performance. Over the last 15 years, California’s statewide Pay for Performance (P4P) program, administered by the Integrated Healthcare Association (IHA), has become one of the largest alternative payment models in the United States. Renamed the Value […]

By Able Health on January 15, 2016


Oregon: Pay-for-performance and quality reporting programs to watch

As many in the healthcare industry have observed, the landscape of healthcare payment and delivery is changing rapidly. Due to rising costs and regulatory changes, both public and private payers are launching programs to monitor the quality of care that healthcare organizations deliver and are tying reimbursement dollars and other incentive payments to performance. These […]

By Able Health on January 11, 2016


What’s new in PQRS 2016? Changes in reporting requirements you need to know

For almost a decade, the Physician Quality Reporting System (PQRS) has been preparing physicians and other healthcare professionals for the shift from fee-for-service to pay for performance. Although many in the healthcare industry are looking ahead towards the bright and shiny new Merit-Based Incentive Payment System (MIPS) that was included in the 2015 MACRA legislation, […]

By Able Health on January 7, 2016


Succeed in value-based care with the Quick Guide to Pay for Performance

As we ring in the start of 2016, many of us in the healthcare industry are excited about the prospect of positive changes and new technologies that will emerge in the new year. For the people in charge of quality programs and pay for performance at physician organizations, however, the start of a new year […]

By Able Health on January 5, 2016


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