Studies have shown over and over that there are disparities in healthcare access and outcomes based on social determinants of health (SDOH) such as income and education level, environment, discrimination, and other factors. In recent years, we have seen attention turn to collecting information from patients regarding these factors and using them to help guide a patient’s care. In specialty settings, this is often seen as less important, and these factors are either not collected or dismissed as unimportant to patient care. This may all change in the near future, however, as CMS turns even more attention to the collection and use of these factors in patient care.

Back in mid-July, the Centers for Medicare & Medicaid Services (CMS) released the proposed rule for the 2022 Physician Fee Schedule. In this two-part blog series, we are going to take a look at some of the more notable changes in the 2022 MIPS proposed rule. In this first installment, we will be summarizing the proposed changes to the 2022 Quality Payment Program.

On July 19, 2021, the Centers for Medicare & Medicaid Services (CMS) released the 2022 proposed rule for the Outpatient Prospective Payment System (OPPS). These changes are meant to increase reimbursement rates for OPPS, implement increased penalties for price transparency violations and reverse changes to the inpatient-only list (among other things).

On June 11, 2021, CMS released updated 2021 quality benchmarks via email. This blog post will provide an overview of quality benchmarks, impact of recent changes and tips on how to optimize your quality reporting in 2021 despite the changes. Additionally, we will explain these updates as well as how they will affect your Quality Improvement process for 2021.

The Centers for Medicare & Medicaid Services (CMS) recently released a wealth of new guidance and resources for MIPS Promoting Interoperability (PI) measures and program requirements for the 2021 reporting period. These changes are based on the IPPS (or inpatient) rule. However, the guidance released in the IPPS rule is usually mirrored in the outpatient rule, which should be released later this summer. As usual, there is a lot to go through. However, most requirements are being carried over from 2020 so only a handful of changes need to be noted by our readers (have no fear; we’ve already done the grunt work, so you don’t have to).

We are entering a new era of healthcare, one where the patient is empowered to direct his or her own treatment. Patients are more informed and involved in their care than ever before and app developers are tapping into people’s desire to be involved in the decision making when it comes to their care. They also expect to be readily provided with their healthcare information upon request, and legislation has been passed that will require such requests be fulfilled in a timely manner.

The submission window for MIPS Performance Year (PY) 2020 closes on March 31, 2021. As one year closes another begins, and now is the time that practices should be preparing for their 2021 MIPS reporting. For the new year, the MIPS annual program requires submission of data in four categories—Quality, Promoting Interoperability (PI), Improvement Activities (IA) and Cost. In this blog, we will briefly go over actions to be taken throughout the year for submission in PY 2021 so that our readers can be better prepared for the next MIPS reporting period.

On October 30, 2020, the U.S. Department of Health and Human Services (HHS) announced the publication of its final 2020-2025 Federal Health IT Strategic Plan. Developed by the HHS ONC in collaboration with 25 federal organizations and formed with input from 100 public comments, this plan outlines federal goals and objectives for Health Information Technology (Health IT) and focuses specifically on the access of individuals to their electronic health information.