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How to develop a plan to improve MIPS cost reporting

HealthEC Media Coverage

February 7, 2018

As CMS ramps up its efforts to drive clinicians toward ACOs and Advanced APMs [groups taking on value-based care (VBC) contracts], providers face a number of MIPS rule changes in Performance Year 2018. Most notably, the introduction of the cost measure performance category’s 10 percent weighting that transitions to 30 percent next year – almost a third of a provider’s MIPS score in 2019. With that, it’s time for physicians to examine their data closely and work toward developing holistic strategies that not only improve patient care, but also significantly reduce expenses.

Dr. Sanjay Seth offers several strategies that may be employed by physicians to reduce healthcare spending while improving quality, such as:

  • Preventing inpatient admissions and ER visits for Ambulatory Care Sensitive Conditions (ACSC)
  • Addressing Social Determinants of Health (SDoH) that are resulting in costly acute care services
  • Optimizing the use of outpatient facilities for tests and therapies
  • Using milestone-driven discharge protocols for intermediate and long-term institutional care
  • Evaluating pharmaceutical use of antibiotics and generic equivalents

Would you like to learn more about strategies to reduce costs in your practice? Continue reading

Excerpt from Health Data Management.