- Corepoint Health - https://corepointhealth.com -

MIPS replacing Meaningful Use for physicians

Last week, the Department of Health and Human Services (HHS) issued a proposed rule to implement key provisions of the Medicare Access and Summary CHIP Reauthorization Act of 2015 (MACRA). The proposed rule addresses changes through the unified framework called the Quality Payment Program, which includes two paths:

The MIPS track further defines its program into four performance categories:

With this proposed rule, the HHS wanted to address three central priorities moving forward:

More specifically, the Advancing Care Program within MIPS is touted as being more patient-centric, practice-driven, and having a strong focus on connectivity. Emphasis will be on interoperability, information exchange, with importance placed on security of PHI and a requirement to give patients access to their health information through APIs.

This proposal, if finalized, would replace the current Meaningful Use program and reporting would begin January 1, 2017. The proposal will be available for public comment over the next 60 days. Under this proposed law, Advancing Care Information would affect only Medicare payments to physician offices, not hospitals or Medicaid programs.

Clinicians must still use a certified EHR [1] technology and would choose to report a customizable set of measures that reflect their workflows, with a particular emphasis on maintaining interoperability and information exchange. The all-or-nothing EHR measurement and quality reporting would no longer be required as it was with Meaningful Use.

CMS proposes six objectives for this category:

For the three objectives starred above, clinicians can select the measures that best fit their day-to-day practice activities giving them the flexibility to comply without the extra burden that has come with compliance in the past.

The six objectives are similar in nature to some of the past interoperability requirements from Meaningful Use. Elements of Transfer of Care, View-Download-Transmit, and public health reporting have evolved into the new objectives. Improvements in the objectives “should increase providers’ ability to use technology in ways that are more relevant to their needs and the needs of their patients,” according to a blog from Acting Administrator Slavitt and National Coordinator Karen DeSalvo on Advancing Care Information.

APIs requirements are also key in opening up connectivity flexibility. APIs will enable physician apps, patient apps, analytic tools, and medical devices to plug-and-play with healthcare data, leading to a better user experience for involved in the healthcare experience.