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MACRA, MIPS and MSSP

07-23-17Darlene Almanza

Currently, all Inova providers billing under our Tax IDs (TINs) will meet MIPS reporting requirements through our Medicare Shared Savings Program (MSSP).  Our ACO quality measures are reported through a web interface and all ACOs receive full credit for Improvement Activities.  Epic will report Advancing Care Information on behalf of our providers at the TIN level (one for primary care and one for specialty).  MIPS reporting replaced the requirements of the PQRS, Meaningful Use, and the Value Modifier programs impacting Part B claims (this year’s performance reporting impacts 2019 claims).

With the help of analysis from Cedargate Technologies, Signature Partners plans to administer a new, exclusively primary care, MSSP in 2018 (Track One +).  This model will qualify as an advanced alternative payment model; we plan to renew our current MSSP agreement, which does not take down-side risk (Track One), for the providers who would not likely meet the thresholds required to participate in an advanced alternative payment model.

Signature Partners