Should you worry?

while therapists weren’t considered “eligible professionals” (EPs) under Meaningful Use, they are EPs under MIPS - and its umbrella program, the Medicare Access and CHIP Reauthorization ACT (MACRA). Providers in private can only participate in MIPS if they meet the specific criteria.

Why participation makes sense?

If a practice or provider meets ALL the thresholds above, then participation is non-negotiable. For the rest, as US healthcare transitions to VBC, gearing up to measure and improve quality while reducing cost is quite intuitive.
However, here are a few more reasons to embrace this change.

More Dollars

Opportunity to earn a bonus of 7%

Prepare for future

Program reach may be expanded in future

Group rules

If reporting as a group, individual qualification is inconsequential

Align with VBC

Evolve into a metric-driven value based organization

What Technology vendors need to do?

Most therapists billing to Medicare (Group practices and individual ECs) will need capabilities in their EHRs to excel at MIPS.
The rest, may have similar expectations from their software vendors as the program reach extends in the next few years.

Enable measurement and
reporting of outcomes

Objectify Quality using QRDA, CQL, Quality dashboards

Exchange of patient
information

Enable Interoperability through CCDA, DIRECT, FHIR

Foster patient
engagement

Drive satisfaction through Patient Portal, Secure messaging, Education

Drive better
clinical decisions

Using Clinical Decision Support Systems, alerts, provider education

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