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Inside Medicare's New Payment System

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What We Need to Know about Qualified Clinical Data Registries (QCDRs)

Host: Matt Birnholz, MD Qualified Clinical Data Registries, or QCDRs, are keys to Medicare’s new payment system in that they collect clinical data for the purpose of patient and disease tracking. But what do we need to know about QCDRs, where to find them, the requirements for successful reporting and why they are so important for clinical practices? Host Dr. Matt Birnholz welcomes a panel of QCDR experts from the AMA. Dr. Kathleen Blake, Vice-President, and Lance Mueller, Manager, both...

Duration: 00:15:59

Preparing for Quality Reporting: Keys to Keeping Your Practice on Track

Ms. Koryn Rubin provides an overview of the reporting options under the Merit-Based Incentive Payment System (MIPS), specifically related to the quality performance category. After listening to this podcast, physicians should obtain a basic understanding between reporting as an individual or reporting as a group practice under MIPS. Ms. Rubin is Assistant Director of Federal Affairs at AMA. Program requirements are subject to change. The links below are intended to assist with MIPS...

Duration: 00:06:00

How an EHR Can Help You Participate in MACRA

EHRs have made a significant impact in the practice of medicine across the country. While many improvements in the usability, flexibility, and interoperability of EHRs are needed, the use of an EHR can still be beneficial for many physicians. Matt Reid, MS provides you with information about the importance of electronic health records (EHRs) to participation in MACRA. Mr. Reid is a Senior Health Care IT Consultant at the AMA. You can find more information about certified EHRs at the Office...

Duration: 00:06:30

Why Participating in Clinical Practice Improvement Activities (CPIA) Matters

Under MACRA, most physicians will participate in a value-based payment program known as MIPS, which stands for Merit-based Incentive Payment System. Beginning with the 2019 physician fee schedule, MIPS will replace the Physician Quality Reporting System, Value-Based Modifier, and Meaningful Use of electronic health records programs. Ms Laura Hoffman, Assistant Director in the Department of Federal Affairs at AMA, provides an overview of the Clinical Practice Improvement Activities, or...

Duration: 00:05:30

Implementing MACRA: The AMA’s Keys to Advancing Opportunities, Avoiding Pitfalls

Host: Matt Birnholz, MD The Medicare Access and CHIP Reauthorization Act, or MACRA, has entered a critical phase of development as the Centers for Medicare and Medicaid Services responds to feedback from clinical stakeholders across the country. At the AMA, efforts are fully underway to update CMS and the physician community alike with the latest recommendations to maximize MACRA’s opportunities while avoiding potential pitfalls. Joining Dr. Matt Birnholz to provide updates from this...

Duration: 00:16:00

APMs in Cancer Care: The Patient-Centered Oncology Payment Model

Host: Matt Birnholz, MD Guest: Robin Zon, MD, FACP Value-based, patient-centered care has become the destination for all branches of medicine, and is the philosophy driving modern payment reform initiatives like MACRA. But the unique care delivery needs in each specialty challenge the notion that one payment model can serve everyone. And nowhere has this become more relevant than in the field of oncology. Dr. Matt Birnholz joins Dr. Robin Zon, practicing oncologist and vice president and...

Duration: 00:21:59

The Rise of Specialist-Driven Alternative Payment Models in American Medicine

Host: Matt Birnholz, MD Guest: Lawrence Kosinski, MD The advancement of the Medicare Access and CHIP Reauthorization Act (MACRA) has catapulted Alternative Payment Models into the spotlight for identifying new value-based approaches to care. But questions persist as to the roles that specialists can and should play in the design and implementation of APMs, how these models will cut healthcare costs, and which administrative partnerships are needed to make them successful. Dr. Lawrence...

Duration: 00:27:00