Category Archives: Health Care Reform: Quality Improvement

American Medical Association: Action Kit on MACRA Proposed Rule

The American Medical Association (AMA) has published an “Action Kit” summarizing the proposed rule implementing the Medicare Access and CHIP Reauthorization Act (MACRA) and highlighting its preliminary comments and recommendations for changes to the proposed rule. Among the issues that the … Continue reading

Posted in Health Care Reform, Health Care Reform: Accountable Care Organizations, Health Care Reform: Medical Homes, Health Care Reform: Payment Reform, Health Care Reform: Quality Improvement, Health Information Technology, Health Information Technology: Meaningful Use | Leave a comment

Centers for Medicare and Medicaid Services: MACRA Proposed Rule Fact Sheet about Small Practices

The Centers for Medicare and Medicaid Services (CMS) has published this fact sheet describing how small group physician practices (defined as practices with 15 or fewer physicians) and practices in rural or health professional shortage areas will be impacted and accommodated … Continue reading

Posted in Health Care Reform, Health Care Reform: Payment Reform, Health Care Reform: Quality Improvement | Leave a comment

Centers for Medicare and Medicaid Services: Additional Resources on MACRA Proposed Rule

The Centers for Medicare and Medicaid Services (CMS) has made available two additional resources about its proposed rule implementing the Medicare Access and CHIP Reauthorization Act (MACRA).  The first resource is a set of slides describing the proposed rule. Link to Original … Continue reading

Posted in Health Care Reform, Health Care Reform: Accountable Care Organizations, Health Care Reform: Medical Homes, Health Care Reform: Payment Reform, Health Care Reform: Quality Improvement, Health Information Technology, Health Information Technology: Meaningful Use | Leave a comment

Centers for Medicare and Medicaid Services: List of Alternative Payment Models (APMs) under MACRA Proposed Rule

Buried deep (on pages 501-502) in the 900+ page pre-publication version of the Centers for Medicare and Medicaid Services (CMS) proposed rule implementing the Medicare Access and CHIP Reauthorization Act (MACRA) is Table 32, which lists current Alternative Payment Models (APMs) … Continue reading

Posted in Health Care Reform, Health Care Reform: Accountable Care Organizations, Health Care Reform: Medical Homes, Health Care Reform: Payment Reform, Health Care Reform: Quality Improvement | Leave a comment

Community Catalyst: Consumer Policy Platform for Health System Transformation

Community Catalyst has published this policy platform for health system transformation from a health consumer perspective. When using the framework of the “triple aim”, consumers should be asking: whether “better care” focuses on improving care for people with multiple chronic … Continue reading

Posted in Health Care Reform, Health Care Reform: Payment Reform, Health Care Reform: Quality Improvement, Patient-Centeredness | Leave a comment

Centers for Medicare and Medicaid Services: Fact Sheet on MACRA Proposed Regulations

The Centers for Medicare and Medicaid Services has published this useful summary of its proposed rule implementing the Medicare Access and CHIP Reauthorization Act (MACRA): Link to Original Source

Posted in Health Care Reform, Health Care Reform: Accountable Care Organizations, Health Care Reform: Medical Homes, Health Care Reform: Payment Reform, Health Care Reform: Quality Improvement, Health Information Technology, Health Information Technology: Meaningful Use | Leave a comment

Centers for Medicare and Medicaid Services: Proposed Rule to Implement Medicare Access and CHIP Reauthorization Act (MACRA)

The Centers for Medicare and Medicaid Services (CMS) has published its much-anticipated proposed rule to implement the Medicare Access and Childrens’ Health Insurance Program (CHIP) Reauthorization Act (MACRA), which replaces the Sustainable Growth Rate formula for how fee-for-service or traditional Medicare … Continue reading

Posted in Health Care Reform, Health Care Reform: Accountable Care Organizations, Health Care Reform: Medical Homes, Health Care Reform: Payment Reform, Health Care Reform: Quality Improvement, Health Information Technology, Health Information Technology: Meaningful Use | Leave a comment

RWJF-Health Affairs Policy Brief: Medicare’s New Physician Payment System

This Health Affairs-Robert Wood Johnson Foundation policy brief describes the key issues  for implementing the new Medicare physician payment system under the 2015 Medicare Access and Children’s Health Insurance Program (CHIP) Reauthorization Act (MACRA). In 2014, Medicare paid physicians and … Continue reading

Posted in Health Care Reform, Health Care Reform: Accountable Care Organizations, Health Care Reform: Medical Homes, Health Care Reform: Payment Reform, Health Care Reform: Quality Improvement | Leave a comment

Covered California: Quality Improvement Requirements for Qualified Health Plans for 2017-2019

Covered California, the state health insurance marketplace, has adopted strengthened quality reporting and improvement requirements for qualified health plans (QHPs) seeking to sell health insurance through the California marketplace for 2017 through 2019.   The contractual requirements include: QHPs will ensure all … Continue reading

Posted in Health Care Reform, Health Care Reform: Accountable Care Organizations, Health Care Reform: Advancing Equity, Health Care Reform: Medical Homes, Health Care Reform: Payment Reform, Health Care Reform: Quality Improvement | Leave a comment

Insure the Uninsured Project: Transforming the Health Care Marketplace by Promoting Value

This issue brief from the Insure the Uninsured Project focuses on the role of California’s health insurance marketplace, Covered California, in advancing health care payment and delivery system reform towards value-based payments.  The issue brief makes the case that as … Continue reading

Posted in Health Care Reform, Health Care Reform: Payment Reform, Health Care Reform: Quality Improvement | Leave a comment