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The state of American health care is simply unsustainable and reform is desperately needed. Costs are rising faster in the United States than anywhere else, and Health care is now a shocking 18 percent of our national GDP. That figure is nearly double the global average and represents approx. $3.2 trillion dollars in health care spending. Unfortunately, that means medical costs for a family of four (assuming employer-provided PPO insurance) have increased nearly 180 percent since 2002. But household income has barely moved since then, which means American families are diverting more and more of their hard-earned dollars toward health care. BUT THERE IS A SOLUTION... Population Health Management (PHM) and Value-Based Care (VBC) WHAT IS POPULATION HEALTH MANAGEMENT? It is collecting and analyzing patient data, aggregating it to segment the patient population and stratifying risk (into low risk, rising risk, and high risk), transforming that data into a single, actionable patient record, uncovering and filling gaps in care, aligning physicians, coordinating care, optimizing efficiency and reducing costs. PRIMARY BENEFITS: Improving clinical and financial outcomes, reducing the onset of disease, slowing disease progression, and helping patients live happier, healthier lives. WHAT IS VALUE BASED CARE? It is a healthcare delivery model in which providers, including hospitals and physicians, are paid based on patient health outcomes rather than volume of services provided. Under value-based care agreements, providers are rewarded for helping patients improve their health, reduce the effects and incidence of chronic disease, and live healthier lives. Value-based care differs from a fee-for-service or capitated approach, in which providers are paid based on the amount of healthcare services they deliver. The “value” in value-based care is derived from measuring health outcomes against the cost of delivering those outcomes. PRIMARY BENEFITS: Patients spend less money to achieve better health. Providers become more efficient and provide superior quality care resulting in greater patient satisfaction. Payers control costs and reduce risk by spreading it across a larger patient population. Suppliers align prices with positive patient outcomes and reduced care costs. We become a healthier society while reducing overall healthcare costs. AS MORE HEALTHCARE PAYERS ADOPT VALUE-BASED PAYMENT MODELS, PROVIDERS MUST ADVANCE THEIR POPULATION HEALTH MANAGEMENT STRATEGIES. But healthcare organizations navigating the transition are faced with a dilemma: They don’t have the data, technology or human capital to support the transition, and they are not operationally structured to provide and manage care before, after and in-between visits—which is largely untouched by encounter based medicine and essential to a more effective health care system. Here's where we can help. Vigilance Health's value based care solutions provide population health management technologies combined with care management, practice transformation and quality improvement teams. We empower healthcare organizations with strategies and programs that reduce the financial burden and facilitate the transition to these new care delivery models—at a comfortable pace with the least amount of operational discomfort. Our suite of services revolve around a unique team of healthcare professionals who have skills and attributes that compliment—rather than replace—a physicians supporting staff. The Vigilance care team performs as an extension of a private practice or health system, brings with them today’s cutting edge population health and care management technologies, and provides care programs that address patient health in-between care encounters. This not only helps providers improve patient care and increase revenue, but it offers them a low-risk way to gain experience and proficiency with population health management and value-based reimbursement models without upfront costs, technology investments or additional staff. For detailed guidance on how to begin the transition to value-based care using population health management service lines, please contact us here to schedule a complimentary consultation with a Vigilance Health Population Health Management Specialist.  

The state of American health care is simply unsustainable and reform is desperately needed. Costs are rising faster in the United States than anywhere else, and Health care is now a shocking 18 percen...

Post-acute care costs the healthcare industry more than $100 billion annually and readmissions cost $30 billion to $40 billion each year. Now that healthcare has shifted to value-based reimbursement, the importance of care coordination has been elevated. When a patient is seen by multiple providers, such as a primary care physician and one or more specialty providers, that patient’s care must be coordinated between those providers to ensure that the care provided by all is efficient and effective. It has become a key feature of evolving care models (Population Health Management or PHM, and Value-Based Care or VBC) designed to avoid episodic care for patients, with a focus on preventative care, reducing the onset of disease, slowing disease progression, and helping patients build healthier habits and lifestyles. FINANCIAL IMPLICATIONS Financially, value-based care coordination can help reduce costs incurred both by the patient and the independent physician. When reimbursement is based on the quality of care rather than the quantity, your emphasis has to be on optimizing each patient visit and ensuring that your patient is knowledgeable, leaving your office with the appropriate treatment plan, and follows through with the physicians directives. Otherwise, time and money can be wasted on unnecessary repeat office visits, lab tests, and even hospital admissions. VALUE-BASED CARE COORDINATION IS NOT CASE OR DISEASE MANAGEMENT It has a much wider focus. Traditional case management or acute episode management addresses a single event with a focus on utilization, length of stay, and benefits management offering a short term impact. Traditional disease management or chronic condition management addresses a single medical condition, provides education on that condition, and self-care adherence. It has a narrow focus and limited impact. Comprehensive care coordination addresses the whole person; including management of physical and psychosocial issues, community resource referrals, care coordination, behavior modification, healthcare coaching and self-care adherence. It also offers a care transition component, an interdisciplinary team and provider engagement. The primary goal is sustainable behavior change that impacts both the patient and provider. Unlike case managers or care managers of the past, new skills are needed to produce improved results:
  1. HEALTHCARE COACHING — Can be defined as helping patients gain the knowledge, skills, tools and confidence to become active participants in their own care so they can reach their self-identified health goals.
  2. MOTIVATIONAL INTERVIEWING — A gentle form of counseling – which is extremely effective in fostering change in a wide range of health behaviors for all demographics. It works by activating patients own motivation for health changes which significantly improves patient engagement and facilitates a stronger adherence to their Physician’s directives.
WHAT ARE THE TYPICAL MONTHLY CHRONIC CARE MANAGEMENT ACTIVITIES?
  • First priority: Ensure patient is adhering to physician’s directives
  • Identify any obstacles patient may have adhering to directives
  • Ensure the beneficiary’s receipt of all recommended preventative services
  • Monitor the beneficiary’s condition (physical, mental, social)
  • Provide education and address questions from the beneficiary, family, guardian, and/or caregiver
  • Motivate patient and promote self-management and investment
  • Identify and arrange needed community resources
  • Communicate with home health agencies & other community providers utilized by the beneficiary
  • Implementation, maintenance & modification with communication of Care Plan
WHY SHOULD PROVIDERS ENGAGE THIS NEW APPROACH TO PATIENT CARE? Health care organizations that leave now can put in place the necessary capabilities and processes that will give them first-mover advantages and increased market share, while others are left behind. And it is hard to disagree with the concept of value-based care and population health management. Done correctly, these care models achieve the Quadruple Aim, improve the patient experience of care (including quality and satisfaction), improve the health of populations, and reduce the per capita cost of health care. As Benjamin Franklin once said “An ounce of prevention is worth a pound of cure.” For more detailed guidance on how to leverage care management as a reimbursable service within your practice, please contact us here to schedule a complimentary consultation with a Vigilance Health Care Management Specialist.  

Post-acute care costs the healthcare industry more than $100 billion annually and readmissions cost $30 billion to $40 billion each year. Now that healthcare has shifted to value-based reimbursement, ...

[vc_row gap="40" hide_on_tablet="true" hide_on_mobile="true" css=".vc_custom_1525461901353{margin-bottom: 0px !important;border-bottom-width: 0px !important;padding-bottom: 0px !important;}"][vc_column][vc_row_inner][vc_column_inner][vc_custom_heading text="MORE THAN A CAREER" font_container="tag:h6|text_align:center|color:%2300aae0" use_theme_fonts="yes" text_transform="uppercase" css=".vc_custom_1525724344404{margin-bottom: 10px !important;padding-top: 105px !important;}"][ut_header style="pt-style-2" align="center" title="AN OPPORTUNITY TO CHANGE LIVES."]At Vigilance, every day is a chance to make a meaningful difference in people's lives. Our team of physicians, nurses, nursing assistants, care managers and more—pursue the mission to help our providers improve the health and lives of their patients, care givers, and family members. Vigilance is looking for extraordinary people to join our rapidly growing team. We offer an inspirational, fun, innovation-driven work environment. Our team members enjoy great pay, benefits and perks, but they also value the opportunity to learn from some of the most passionate and driven people in the industry. If you share our obsession with patient satisfaction and patient improvement, as well as our absolute focus on changing healthcare by enhancing the experience of both the patient and healthcare providers, then we invite you to send us your application today![/ut_header][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][vc_row gap="20" hide_on_desktop="true" hide_on_tablet="true" css=".vc_custom_1525115562627{margin-top: -60px !important;border-top-width: 0px !important;padding-top: 0px !important;}"][vc_column][vc_row_inner css=".vc_custom_1524864390653{margin-bottom: 0px !important;border-bottom-width: 0px !important;padding-bottom: 0px !important;}"][vc_column_inner][vc_custom_heading text="MORE THAN A CAREER" font_container="tag:h6|text_align:center|color:%2300aae0" use_theme_fonts="yes" text_transform="uppercase" css=".vc_custom_1525724344404{margin-bottom: 10px !important;padding-top: 105px !important;}"][ut_header style="pt-style-2" align="center" title="AN OPPORTUNITY TO CHANGE LIVES."]At Vigilance, every day is a chance to make a meaningful difference in people's lives. Our team of physicians, nurses, nursing assistants, care managers and more—pursue the mission to help our providers improve the health and lives of their patients, care givers, and family members. Vigilance is looking for extraordinary people to join our rapidly growing team. We offer an inspirational, fun, innovation-driven work environment. Our team members enjoy great pay, benefits and perks, but they also value the opportunity to learn from some of the most passionate and driven people in the industry. If you share our obsession with patient satisfaction and patient improvement, as well as our absolute focus on changing healthcare by enhancing the experience of both the patient and healthcare providers, then we invite you to send us your application today![/ut_header][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][vc_section full_width="" css=".vc_custom_1525735513187{margin-top: 0px !important;margin-right: 0px !important;margin-left: 0px !important;border-top-width: 0px !important;border-right-width: 0px !important;border-left-width: 0px !important;padding-top: 0px !important;padding-right: 0px !important;padding-left: 0px !important;}"][vc_row full_width="" gap="20"][vc_column][vc_column_text][jobpost posts][/vc_column_text][/vc_column][/vc_row][/vc_section]

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[vc_row gap="40" hide_on_tablet="true" hide_on_mobile="true" css=".vc_custom_1525461901353{margin-bottom: 0px !important;border-bottom-width: 0px !important;padding-bottom: 0px !important;}"][vc_column][vc_row_inner][vc_column_inner][vc_custom_heading text="MORE THAN A CAREER" font_container="tag:h6|text_align:center|color:%2300aae0" use_theme_fonts="yes" text_transform="uppercase" css=".vc_custom_1525724344404{margin-bottom: 10px !important;padding-top: 105px !important;}"][ut_header style="pt-style-2" align="center" title="AN OPPORTUNITY TO CHANGE LIVES."]At Vigilance, every day is a chance to make a meaningful difference in people's lives. Our team of physicians, nurses, nursing assistants, care managers and more—pursue the mission to help our providers improve the health and lives of their patients, care givers, and family members. Vigilance is looking for extraordinary people to join our rapidly growing team. We offer an inspirational, fun, innovation-driven work environment. Our team members enjoy great pay, benefits and perks, but they also value the opportunity to learn from some of the most passionate and driven people in the industry. If you share our obsession with patient satisfaction and patient improvement, as well as our absolute focus on changing healthcare by enhancing the experience of both the patient and healthcare providers, then we invite you to send us your application today![/ut_header][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][vc_row gap="20" hide_on_desktop="true" hide_on_tablet="true" css=".vc_custom_1525115562627{margin-top: -60px !important;border-top-width: 0px !important;padding-top: 0px !important;}"][vc_column][vc_row_inner css=".vc_custom_1524864390653{margin-bottom: 0px !important;border-bottom-width: 0px !important;padding-bottom: 0px !important;}"][vc_column_inner][vc_custom_heading text="MORE THAN A CAREER" font_container="tag:h6|text_align:center|color:%2300aae0" use_theme_fonts="yes" text_transform="uppercase" css=".vc_custom_1525724344404{margin-bottom: 10px !important;padding-top: 105px !important;}"][ut_header style="pt-style-2" align="center" title="AN OPPORTUNITY TO CHANGE LIVES."]At Vigilance, every day is a chance to make a meaningful difference in people's lives. Our team of physicians, nurses, nursing assistants, care managers and more—pursue the mission to help our providers improve the health and lives of their patients, care givers, and family members. Vigilance is looking for extraordinary people to join our rapidly growing team. We offer an inspirational, fun, innovation-driven work environment. Our team members enjoy great pay, benefits and perks, but they also value the opportunity to learn from some of the most passionate and driven people in the industry. If you share our obsession with patient satisfaction and patient improvement, as well as our absolute focus on changing healthcare by enhancing the experience of both the patient and healthcare providers, then we invite you to send us your application today![/ut_header][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][vc_section full_width="" css=".vc_custom_1525735513187{margin-top: 0px !important;margin-right: 0px !important;margin-left: 0px !important;border-top-width: 0px !important;border-right-width: 0px !important;border-left-width: 0px !important;padding-top: 0px !important;padding-right: 0px !important;padding-left: 0px !important;}"][vc_row full_width="" gap="20"][vc_column][vc_column_text][jobs][/vc_column_text][/vc_column][/vc_row][/vc_section]

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FOR IMMEDIATE RELEASE  April 19, 2018

Dear Vigilance Health partners and future partners, I’m thrilled to be announcing some big news. Vigilance Health is leading the way to realigning healthcare delivery and reimbursement—so our partners can thrive in the new age of accountable care. Our whole team is celebrating today with the launch of our New Population Health Service Lines. Your advice and feedback has been so helpful as we shaped these important new services—thank you! We’re excited to give you the power to take advantage of new value-based care reimbursements and alternative payment methods. Now you can get paid while transitioning to value-based care. But to thrive in this era of health reform, organizations need to adopt a more patient centered approach and provide services offering a high impact on outcome scores. So we combined care management, quality improvement, and practice transformation services with population health IT. This enabled us to provide a "turn-key solution" for healthcare organizations, private practices, and community health centers who see the value of population health services. Here's what you can expect:
  • These Population Health Service Lines can be launched in just a few weeks, with no financial risk, no provider or staff burden, and no out of pocket expense.
  • They will help get your patients (especially those with chronic conditions) better managed, engaged, and able to take a proactive role in managing their health.
  • You'll have effective, profitable, and sustainable prevention and wellness programs led by population health nurses and care managers.
  • Your organization will be able to generate new revenue streams, increase margins, and improve profitability with quality bonuses and incentives, higher reimbursements, and new FFS payments for PHM services.
  • Every healthcare organization is different, so we're also offering several implementation options, each of them tailored to your specific needs.
Our goal is to help you leverage new value-based revenue opportunities, improve quality scores, and reduce provider / administrative burdens. And these new services will enable you to measure, demonstrate, and ultimately improve patient outcomes—without needing to invest in technology, staff or training. Yes, it’s possible—and we’ve done it! For more information, just give Mark Davis or Ryan Russell a call at (855) 599-2261 or send us an email at contact@vigilancehit.com. Thanks again for a great year! Sincerely, James Coburn CEO, Vigilance Health, Inc

FOR IMMEDIATE RELEASE  April 19, 2018 Dear Vigilance Health partners and future partners, I’m thrilled to be announcing some big news. Vigilance Health is leading the way to realigning healthcare d...

[vc_section css=".vc_custom_1521075671182{margin-top: 20px !important;}"][vc_row full_width="" content_placement="middle" hide_on_mobile="true"][vc_column width="2/3"][vc_custom_heading text="VIGILANCE HEALTH WEBINAR" font_container="tag:h6|text_align:left|color:%2300aae0" use_theme_fonts="yes"][ut_header align="left" title="REIMBURSEMENT CHALLENGES ARE NOTHING NEW TO PHYSICIAN PRACTICES, BUT IN 2018 THE STAKES ARE MUCH HIGHER."]Participate in this engaging 40 minute presentation designed to empower you with strategies and programs that allow you to make the value-based transition at a comfortable pace, bring more value to your patients, and increase practice revenue. The webinar is lead by two healthcare delivery & reimbursement experts who will detail several new value-based reimbursement programs, and show you how to take advantage of new CPT codes, performance bonuses, and quality incentives. NOW is the time to take a proactive step toward a more patient-centric value-based care model—and take advantage of the programs that reward you financially for improved care coordination, higher quality, and decreased costs. [/ut_header][/vc_column][vc_column width="1/3"][vc_empty_space height="175px"][ut_portfolio_details values="%5B%7B%22title%22%3A%22CATEGORY%3A%22%2C%22description%22%3A%22Value-Based%20Care%22%2C%22link%22%3A%22%7C%7C%7C%22%7D%2C%7B%22title%22%3A%22DATE%3A%22%2C%22description%22%3A%22March%2023%2C%202018%22%7D%2C%7B%22title%22%3A%22SPEAKERS%3A%22%2C%22description%22%3A%22James%20Coburn%20%26%20Mark%20Davis%22%7D%2C%7B%22title%22%3A%22AUDIENCE%3A%20%22%2C%22description%22%3A%22Private%20Practice%22%7D%5D" title_color="#333333"][/vc_column][/vc_row][vc_row full_width="" content_placement="middle" hide_on_desktop="true" hide_on_tablet="true"][vc_column width="2/3" css=".vc_custom_1521149487591{margin-bottom: 0px !important;padding-bottom: 0px !important;}"][vc_custom_heading text="VIGILANCE HEALTH WEBINAR" font_container="tag:h6|text_align:center|color:%2300aae0" use_theme_fonts="yes"][ut_header align="center" title="REIMBURSEMENT CHALLENGES ARE NOTHING NEW TO PHYSICIAN PRACTICES, BUT IN 2018 THE STAKES ARE MUCH HIGHER."]Participate in this engaging 40 minute presentation designed to empower you with strategies and programs that allow you to make the value-based transition at a comfortable pace, bring more value to your patients, and increase practice revenue. The webinar is lead by two healthcare delivery & reimbursement experts who will detail several new value-based reimbursement programs, and show you how to take advantage of new CPT codes, performance bonuses, and quality incentives. NOW is the time to take a proactive step toward a more patient-centric value-based care model—and take advantage of the programs that reward you financially for improved care coordination, higher quality, and decreased costs.[/ut_header][/vc_column][vc_column width="1/3" css=".vc_custom_1521149470525{margin-top: 0px !important;padding-top: 0px !important;}"][vc_empty_space height="25px"][ut_portfolio_details align="center" values="%5B%7B%22title%22%3A%22CATEGORY%3A%22%2C%22description%22%3A%22Value-Based%20Care%22%2C%22link%22%3A%22%7C%7C%7C%22%7D%2C%7B%22title%22%3A%22DATE%3A%22%2C%22description%22%3A%22February%2027%2C%202018%22%7D%2C%7B%22title%22%3A%22SPEAKERS%3A%22%2C%22description%22%3A%22James%20Coburn%20%26%20Mark%20Davis%22%7D%2C%7B%22title%22%3A%22AUDIENCE%3A%20%22%2C%22description%22%3A%22Private%20Practice%22%7D%5D" title_color="#333333"][/vc_column][/vc_row][vc_row full_width="" content_placement="middle"][vc_column][ut_social_share_bar align="center" share_text_font_weight="bold" border="true" share_text="SHARE:" border_color="#efefef" icon_color="#999999" icon_color_hover="#f5ab35" share_text_color="#333333" css=".vc_custom_1521048245097{margin-top: 0px !important;border-top-width: 0px !important;padding-top: 0px !important;}"][/vc_column][/vc_row][/vc_section]

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What is motivational interviewing?

Motivational interviewing (MI) is a counseling approach developed in part by clinical psychologists William R. Miller and Stephen Rollnick. The concept of motivational interviewing evolved from experience in the treatment of problem drinkers, and was first described by Miller (1983) in an article published in Behavioural Psychotherapy. Miller and Rollnick later elaborated on these fundamental concepts and approaches in 1991, in a more detailed description of clinical procedures. Motivational interviewing is a directive, client-centered counselling style for eliciting behavior change by helping clients to explore and resolve ambivalence. It is most centrally defined not by technique but by its spirit as a facilitative style for interpersonal relationship. (Wikipedia:)

Why is it used in a care management setting?

If you've ever tried to change your behavior or kick a bad habit, then you know how difficult it can be. Likewise, it's challenging for providers to get patients to adopt and maintain healthful behavior changes; such as losing weight, starting an exercise program, or keeping up with a medication regimen. Historically, clinicians took a more directive approach to care, giving patients a limited role in the decision-making process. But as healthcare continues to take a more patient-centered approach, care managers will need more effective ways to engage patients. Recently, tools like motivational interviewing and programs that use them (such as Vigilance Health's Care Management Program) can help providers influence patients to make changes and support them along the way. With the right technology, care managers can further optimize motivational interviewing and consistently achieve better outcomes, improve care quality, and reduced patient / provider costs.

How does it work?

Motivational interviewing is non-judgmental, non-confrontational and non-adversarial. The approach attempts to increase the patients's awareness of the potential problems caused, consequences experienced, and risks faced as a result of the behavior in question. Alternatively, or in addition, care managers may help patients envision a better future, and become increasingly more motivated to achieve it. The strategy seeks to help patients think differently about their behavior and ultimately consider what might be gained if the change is made. The focus is on the present, and entails working with a patient to access motivation—to change a particular behavior that is not consistent with a patient's own values or goals. Warmth, genuine empathy, and acceptance are necessary attributes to foster gains. Another central concept is that ambivalence about decisions is resolved by conscious and unconscious weighing of pros and cons of change vs. not changing. The main goals of motivational interviewing are to engage patients, elicit change talk, and evoke patient motivation to make positive changes. Change talk can be elicited by asking the client questions, such as
"How would you like things to be different?" or "How does ______ interfere with things that you would like to do?"
Change may occur quickly or may take considerable time, depending on the patient. Knowledge alone is usually not sufficient to motivate change, and challenges in maintaining change should be thought of as the rule, not the exception. For a care manager to succeed at motivational interviewing, they should first establish four basic interaction skills. These skills include:
  • The ability to ask open-ended questions
  • The ability to provide affirmations
  • The capacity for reflective listening
  • The ability to periodically provide summary statements to the client.
These skills are used strategically, while focusing on a variety of topics, such as looking back, reflecting on a typical day, the importance of change, looking forward, and examining one's confidence about behavior changes.

MI empowers patients to change behavior and commit to better health—on their terms.

Ultimately, care managers must recognize that motivational interviewing involves collaboration not confrontation, evocation not education, autonomy rather than authority, and exploration instead of explanation. Effective processes for positive change focus on goals that are small, important to the patient, specific, realistic, and oriented in the present and/or future. While there are as many variations in technique as there are clinical encounters, the spirit of the method, however, is more enduring and can be characterized in a few key points:
  1. Motivation to change is elicited from the patient, and is not imposed from outside forces.
  2. It is the patient's task, not the care manager's, to articulate and resolve the client's ambivalence.
  3. Direct persuasion is not an effective method for resolving ambivalence.
  4. The counseling style is generally quiet and elicits information from the patient.
  5. The care manager is directive, in that they help the patient to examine and resolve ambivalence.
  6. Readiness to change is not a trait of the patient, but a fluctuating result of interpersonal interaction.
  7. The relationship resembles a partnership or companionship.
Patient engagement continues to be critical in modern healthcare delivery. This is especially true in care management, where care managers and patients collaborate to drive better outcomes at reduced costs—particularly when it involves chronic conditions. By using motivational interviewing / healthcare coaching techniques and leveraging comprehensive care management technologies, Vigilance Health can facilitate and significantly improve patient engagement. Our care managers help patients become true partners in their own care, and empower them to make positive changes to their health. Click here for information on the Vigilance Health Chronic Care Management program.[/vc_column_text][/vc_column][/vc_row]

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A new study shows that a government program for managing chronic conditions cuts costs and improves care.

In January 2015, the Centers for Medicare & Medicaid Services (CMS) introduced a separately billable non-face-to-face Chronic Care Management (CCM) service. The goal is to improve Medicare beneficiaries’ access to chronic care management in primary care. These CCM services provide support for patients with multiple chronic conditions in-between their provider visits and episodes of care. The program also provides new “in-between visit” payments to participating providers. That revenue encourages healthcare providers to focus more on goal-directed, person-centered care planning, and provide "aging-in-place" resources such as proactive care management, the report explains. Over 684,000 beneficiaries received CCM services during the first two years of the new payment policy. Providers billed for 3,513,179 claims for CCM services for a total of $105.8 million in fees.
Interviews with 71 eligible professionals (or their specialty societies) revealed that providers and care managers perceived several positive outcomes for beneficiaries from CCM including: improved patient satisfaction and adherence to recommended therapies, improved clinician efficiency, and decreased hospitalizations and emergency department (ED) visits. Most noted patients’ enhanced access to the practice through the care manager, which enabled telephonic condition monitoring between visits and more time for medication monitoring and reconciliation.
Providers with whom we spoke reported that the CCM payment helped them better support staff who connected patients to home and community based services. Thus, it is not surprising that engaging CCM beneficiaries would increase use of community-based services, such as home health, because of increased care management, concomitant recognition of patients’ formerly unmet needs, and the potential desire to reduce acute care utilization.
We also found evidence that CCM was more effective at reducing Medicare expenditures among beneficiaries who died during the follow-up period suggesting better management of end- of-life care.

CCM practices’ scope of service

The CCM scope of services requires participating providers to: create a patient-centered care plan that is shared with the beneficiary and his/her other providers; provide care continuity, enhanced opportunities for communication with the practice and timely access to needed care, and; provide comprehensive care management, including medication review and coordination of care with specialists and during care transitions.

How beneficiaries felt about their doctor’s office approaching them about CCM services

Beneficiaries most commonly learned about CCM services from their primary care physician, or another member of their primary care team, such as a nurse practitioner.
When asked about their first impressions, many beneficiaries reported positive reactions to the discussion about CCM services, and felt the conversation reflected the provider’s commitment to their well-being. Some beneficiaries said they were glad their doctor was getting paid for time spent communicating with them outside of regular office hours. Others liked the idea of not having to wait until their next office visit to share concerns that came up along the way. As one beneficiary noted,
“I thought it was a pretty good process to stay on top of my health.”
Many of the beneficiaries who thought CCM sounded like a good idea mentioned new or ongoing health problems that had become a growing concern, and they felt they could benefit from more regular communication with their practice. As one beneficiary explained,
“I felt, at that point, that it was to my advantage for them to be able to coordinate between different doctors for senior care.”
Another said,
“It sounded like a good idea to have somebody else in there that you could call and talk to and ask questions and then she would find the answer and get back to us.”

Care continuity, coordination and communication

Many patients noted enhanced communication with their practice since signing up for CCM, typically by phone calls to them by a nurse, care manager or other provider. Some patients noted that their practice also made sure it was the same person who contacted the patient between appointments to check in and address any ongoing health concerns. One beneficiary expressed his appreciation of that continuity, saying
“You’re talking to the same person every time. It’s somebody that knows my history, knows my medications, knows the doctors I’m seeing, knows what I’m being treated for.”
Patients also noted being given the opportunity to note their preference for mode of communication (e.g., phone, secure email). Several beneficiaries reported that CCM services had improved coordination across their care team. As one beneficiary stated,
“I see so many different doctors. The main thing is to keep everybody on the same track. Everybody knows that they have to send everything that I have done at their office to my primary doctor so that they know what’s been going on with me, and they don’t have to sit and call around and ask for lab work or test results.”
Another explained,
“Sometimes things that happen to you, where you’re seeing a specialist or you’re having this checked, sometimes you have a tendency to forget something that was pretty important for (the primary care provider) to know in your care going forward...this was a way to keep them involved in my total care, whether they were administering it or somebody else was administering it.”

Timely access to care

Many beneficiaries felt that participating in CCM services had provided them with more timely access to their CCM practice. Beneficiaries appreciated having ready access to a nurse or care manager who could communicate with the physician or schedule an appointment more quickly than the patient could have. As one beneficiary explained,
“I felt like I had an in to the doctor, like there was somebody else to help me through that process [rather] than just calling the main number and then you wait on hold and then they have to type it in the computer and then they have to get it to the doctor.”
Another described how prompt attention from her primary care office helped prevent a potentially dangerous drug interaction,
“When I had a blood test, my iron was low, so the doctor said that I should go to the drugstore and buy some iron medicine. (...) I was just looking at it one day and it said on there do not take iron medicine with the thyroid medicine, that it could have serious repercussions. I called (the nurse) and asked her... Within five minutes, she had talked to the doctor and he had given her different instructions and she relayed it to me and we changed the medicine and it was all done like in 15 minutes.”
A small number of beneficiaries, who previously had concerns about taking up too much of their doctors’ time, reported feeling more comfortable calling the office with a question or concern, knowing that there was someone available who could respond promptly, and could put them in touch with the doctor if the situation merited that kind of attention.

Care management benefits

Beneficiaries generally appreciated the monthly check-ins and described them as “reassuring” and “a good reminder.” One beneficiary described how the monthly phone calls helped him and his wife, who was also receiving CCM services, to remain mindful of their health,
“We think about our health more and what we’re doing right or wrong with these phone calls that we’re getting every month now. It’s a good thing.”
Another beneficiary described how having more regular communication with his provider - influenced him to continue taking his medications despite some undesirable side effects,
“For one thing, I think I’m more conscious of taking my medication. ...Being in constant contact with him, you begin to realize, look, yes, it’s going to have some side effects here and there, but its doing what it’s supposed to do.”
Other beneficiaries described additional benefits of the regular check-ins,
“They call when it's convenient for me to chat. If I can't immediately, they ask questions if there's anything I need, boom, I get a quick, rapid response from the doctor's office.”
Several beneficiaries felt that receiving regular calls from the practice spared them unnecessary visits to the office, and freed the doctor from spending time on questions or problems that a nurse or care coordinator could address. One explained,
“I’ve got a lot of different physical problems, and having somebody coordinating them, it’s easier to do with the nurse practitioner and less expensive for me than to try and do it with an internist. It’s simply the sort of thing that a professional without an MD’s training is perfectly capable of doing. It’s useful to be able to speak to somebody monthly about ongoing problems or something new that has come up.”
Many beneficiaries felt CCM services were beneficial and planned to continue participating. A beneficiary, representing the opinion of many, said:
"I'll continue to participate until my heart stops beating.”
During the past five years, CMS has made a strong commitment to supporting primary care and has increasingly recognized care management as an important component of primary care. It contributes to improved health for beneficiaries and reduced expenditure growth. Participation in the CCM program was associated with a lower growth in total costs to Medicare than the comparison group. Patients in the CCM program had lower hospital, emergency department and skilled nursing facility costs., along with a reduced likelihood of hospital admission for the ambulatory care sensitive conditions of diabetes, congestive heart failure, urinary tract infection, and pneumonia. The study concluded that "CCM is having a positive effect on lowering the growth in Medicare expenditures on those that received CCM services." Interviews with 71 eligible professionals revealed that providers and care managers perceived several positive outcomes for beneficiaries from CCM. They included improved patient satisfaction and adherence to recommended therapies, improved clinician efficiency, and decreased hospitalizations and emergency department visits. Clearly, this new program is a win for the patients, providers, and the payers. But for many provider organizations, the study shows the reimbursements are inadequate to support the costs associated with providing these new services. Here's where we can help. We already have the infrastructure (people, process and technology) in place. Partnering with Vigilance Health will enable you to participate in these new programs and generate new revenue streams—with no upfront costs, staff increase or capital investments. Click here to learn more.

A new study shows that a government program for managing chronic conditions cuts costs and improves care. In January 2015, the Centers for Medicare & Medicaid Services (CMS) introduced a separatel...

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[vc_section css=".vc_custom_1501788120003{margin-bottom: 0px !important;border-bottom-width: 0px !important;padding-bottom: 0px !important;}"][vc_row css=".vc_custom_1501854007091{padding-top: 60px !important;padding-bottom: 80px !important;}"][vc_column][vc_row_inner hide_on_mobile="true"][vc_column_inner][vc_custom_heading text="MEDICARE ACCESS & CHIP REAUTHORIZATION ACT" font_container="tag:h6|text_align:center|color:%2300aae0" use_theme_fonts="yes"][ut_header style="pt-style-1" align="center" title="UNDERSTANDING MACRA, MIPS, AND ALTERNATIVE PAYMENT METHODS" lead_margin_top="20PX" lead_margin_left="150px" lead_margin_right="150px"]MACRA repeals the Medicare Part B Sustainable Growth Rate (SGR) reimbursement formula and replaces it with a new value-based reimbursement system called the Quality Payment Program (QPP). The quality payment program has two tracks healthcare organizations can choose from:[/ut_header][/vc_column_inner][/vc_row_inner][vc_row_inner hide_on_desktop="true" hide_on_tablet="true" css=".vc_custom_1503092338161{margin-top: -50px !important;}"][vc_column_inner][vc_custom_heading text="MEDICARE ACCESS & CHIP REAUTHORIZATION ACT" font_container="tag:h6|text_align:center|color:%2300aae0" use_theme_fonts="yes"][ut_header style="pt-style-2" align="center" title="UNDERSTANDING MACRA, MIPS, AND ALTERNATIVE PAYMENT METHODS" lead_margin_top="20PX"]MACRA repeals the Medicare Part B Sustainable Growth Rate (SGR) reimbursement formula and replaces it with a new value-based reimbursement system called the Quality Payment Program (QPP). The quality payment program has two tracks healthcare organizations can choose from:[/ut_header][/vc_column_inner][/vc_row_inner][vc_row_inner][vc_column_inner width="1/2"][ut_service_column_vertical shape="rounded" icon="fa fa-pencil-square-o" headline="THE MERIT-BASED INCENTIVE PROGRAM (MIPS)" background="#000d1a" color="#f4f4f4"]In MIPS, you earn a payment adjustment based on evidence-based and practice-specific quality data. Based on your performance, you will see a positive, neutral, or negative adjustment to your Medicare payments for covered professional services.[/ut_service_column_vertical][/vc_column_inner][vc_column_inner width="1/2"][ut_service_column_vertical shape="rounded" icon="fa fa-users" headline="ALTERNATIVE PAYMENT MODEL (APMs)" background="#000d1a" color="#f4f4f4"]An Alternative Payment Model (APM) is a payment approach that gives added incentive payments to provide high-quality and cost-efficient care. APMs can apply to a specific clinical condition, a care episode, or a population.[/ut_service_column_vertical][/vc_column_inner][/vc_row_inner][vc_row_inner hide_on_mobile="true"][vc_column_inner][vc_separator css=".vc_custom_1502478070630{padding-top: 80px !important;padding-bottom: 80px !important;}"][/vc_column_inner][/vc_row_inner][vc_row_inner hide_on_desktop="true" hide_on_tablet="true"][vc_column_inner][vc_separator][/vc_column_inner][/vc_row_inner][vc_row_inner hide_on_mobile="true"][vc_column_inner width="1/2" delay="true" effect="fadeInLeft" delay_timer="100"][vc_custom_heading text="PERFORMANCE-BASED PAYMENTS" font_container="tag:h6|text_align:left|color:%2300aae0" use_theme_fonts="yes"][ut_header align="left" title="MIPS STREAMLINES THREE HISTORICAL MEDICARE PROGRAMS" lead_margin_right="50px"]MIPS combines the existing Physician Quality Reporting System (PQRS), the Value-based Payment Modifier (VM) Program and the Medicare Electronic Health Record (EHR) Incentive Program (Meaningful Use) — into a single payment program. WHO MUST PARTICIPATE? Eligible Clinicians who: Bill Medicare $30,000 a year, provide care for 100 Medicare patients a year. Clinicians (Physician, Physician assistant, Nurse practitioner, Clinical nurse specialist, Certified registered nurse anesthetist. WHEN DOES MIPS START? Providers have between January 1, 2017 and October 2, 2017 to begin reporting their data.[/ut_header][/vc_column_inner][vc_column_inner width="1/2" delay="true" effect="fadeInRight" delay_timer="100"][ut_animated_image size="large" align="right" image="3338"][/vc_column_inner][/vc_row_inner][vc_row_inner hide_on_desktop="true" hide_on_tablet="true" css=".vc_custom_1503092847117{margin-bottom: -50px !important;padding-top: 10px !important;}"][vc_column_inner delay="true" effect="fadeInLeft" delay_timer="100"][vc_custom_heading text="PERFORMANCE-BASED PAYMENTS" font_container="tag:h6|text_align:center|color:%2300aae0" use_theme_fonts="yes"][ut_header style="pt-style-2" align="center" title="MIPS STREAMLINES THREE HISTORICAL MEDICARE PROGRAMS"]MIPS combines the existing Physician Quality Reporting System (PQRS), the Value-based Payment Modifier (VM) Program and the Medicare Electronic Health Record (EHR) Incentive Program (Meaningful Use) — into a single payment program. WHO MUST PARTICIPATE? Eligible Clinicians who: Bill Medicare $30,000 a year, provide care for 100 Medicare patients a year. Clinicians (Physician, Physician assistant, Nurse practitioner, Clinical nurse specialist, Certified registered nurse anesthetist. WHEN DOES MIPS START? Providers have between January 1, 2017 and October 2, 2017 to begin reporting their data.[/ut_header][ut_animated_image size="large" align="center" image="3338"][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][vc_row full_width="stretch_row_content_no_spaces" hide_on_mobile="true" css=".vc_custom_1503092639619{padding-bottom: 0px !important;}"][vc_column css=".vc_custom_1501788102669{padding-bottom: 0px !important;}"][ut_parallax_quote quotation_marks="no" icon_border_radius="50" quote_font_source="google" quote_google_fonts="font_family:Open%20Sans%3A300%2C300italic%2Cregular%2Citalic%2C600%2C600italic%2C700%2C700italic%2C800%2C800italic|font_style:300%20light%20regular%3A300%3Anormal" quote_font_size="24" cite_font_source="google" cite_google_fonts="font_family:Roboto%3A100%2C100italic%2C300%2C300italic%2Cregular%2Citalic%2C500%2C500italic%2C700%2C700italic%2C900%2C900italic|font_style:400%20regular%3A400%3Anormal" cite_font_size="12" cite_letter_spacing="5" css=".vc_custom_1502769874070{padding-top: 80px !important;padding-right: 20px !important;padding-bottom: 80px !important;padding-left: 20px !important;background-image: url(https://www.vigilancehealth.com/wp-content/uploads/2016/07/cubes.png?id=617) !important;background-position: 0 0 !important;background-repeat: repeat !important;}" icon="fa fa-quote-left" icon_background_color="#000d1a" quote_color="#333333" icon_color="#f4f4f4" cite="VIGILANCE HEALTH" cite_color="#00aae0"]Only time will tell how the public release of the MIPS score will impact providers. The question is "how will it affect your organization's reputation and ultimately - the bottom line." [/ut_parallax_quote][/vc_column][/vc_row][vc_row full_width="stretch_row_content_no_spaces" hide_on_desktop="true" hide_on_tablet="true" css=".vc_custom_1503092648028{padding-bottom: 0px !important;}"][vc_column css=".vc_custom_1501788102669{padding-bottom: 0px !important;}"][ut_parallax_quote quotation_marks="no" icon_border_radius="50" quote_font_source="google" quote_google_fonts="font_family:Open%20Sans%3A300%2C300italic%2Cregular%2Citalic%2C600%2C600italic%2C700%2C700italic%2C800%2C800italic|font_style:300%20light%20regular%3A300%3Anormal" quote_font_size="24" cite_font_source="google" cite_google_fonts="font_family:Roboto%3A100%2C100italic%2C300%2C300italic%2Cregular%2Citalic%2C500%2C500italic%2C700%2C700italic%2C900%2C900italic|font_style:400%20regular%3A400%3Anormal" cite_font_size="12" cite_letter_spacing="5" css=".vc_custom_1503092685153{padding-top: 80px !important;padding-right: 20px !important;padding-bottom: 80px !important;padding-left: 20px !important;background-image: url(https://www.vigilancehealth.com/wp-content/uploads/2016/07/cubes.png?id=617) !important;background-position: 0 0 !important;background-repeat: repeat !important;}" icon="fa fa-quote-left" icon_background_color="#000d1a" quote_color="#333333" icon_color="#f4f4f4" cite="VIGILANCE HEALTH" cite_color="#00aae0"]Only time will tell how the public release of the MIPS score will impact providers. The question is "how will it affect your organization's reputation and ultimately - the bottom line." [/ut_parallax_quote][/vc_column][/vc_row][vc_row hide_on_mobile="true" css=".vc_custom_1503092734964{padding-top: 80px !important;padding-bottom: 120px !important;}"][vc_column][vc_row_inner][vc_column_inner width="1/2" delay="true" effect="fadeInLeft" delay_timer="100"][vc_custom_heading text="MEASURING PERFORMANCE" font_container="tag:h6|text_align:left|color:%2300aae0" use_theme_fonts="yes"][ut_header align="left" title="CALCULATING A COMPOSITE PERFORMACE SCORE" lead_margin_right="50px"]CMS is instituting a “unified scoring system” for MIPS that differs from how previous Medicare quality programs were evaluated in several ways: 1.) Measures and performance in each MIPS performance category will be converted to points 2.) Eligible clinicians will know in advance what they need to submit to achieve top performance 3.) Partial credit is available. The MIPS unified scoring system results in calculating a Composite Performance Score for all participating clinicians that represents performance in the four categories on a scale of 0-100 points. Each performance category is assigned a weighted value, which can change each performance year. The MIPS scoring methodology is also intended to take into account situations of exceptional performance, evaluation at the group or individual provider performance level, and the special circumstances of small practices, practices located in rural areas, and non-patient-facing MIPS eligible clinicians.[/ut_header][/vc_column_inner][vc_column_inner width="1/2" delay="true" effect="fadeInRight" delay_timer="100"][ut_animated_image size="large" align="center" image="3332"][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][vc_row hide_on_desktop="true" hide_on_tablet="true" css=".vc_custom_1503092782000{padding-top: 40px !important;padding-bottom: 40px !important;}"][vc_column][vc_row_inner][vc_column_inner delay="true" effect="fadeInLeft" delay_timer="100"][vc_custom_heading text="MEASURING PERFORMANCE" font_container="tag:h6|text_align:center|color:%2300aae0" use_theme_fonts="yes"][ut_header style="pt-style-2" align="center" title="CALCULATING A COMPOSITE PERFORMACE SCORE"]CMS is instituting a “unified scoring system” for MIPS that differs from how previous Medicare quality programs were evaluated in several ways: 1.) Measures and performance in each MIPS performance category will be converted to points 2.) Eligible clinicians will know in advance what they need to submit to achieve top performance 3.) Partial credit is available. The MIPS unified scoring system results in calculating a Composite Performance Score for all participating clinicians that represents performance in the four categories on a scale of 0-100 points. Each performance category is assigned a weighted value, which can change each performance year. The MIPS scoring methodology is also intended to take into account situations of exceptional performance, evaluation at the group or individual provider performance level, and the special circumstances of small practices, practices located in rural areas, and non-patient-facing MIPS eligible clinicians.[/ut_header][ut_animated_image size="large" align="center" image="3332"][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][/vc_section][vc_section hide_on_mobile="true" css_animation="none" css=".vc_custom_1503092902658{padding-top: 150px !important;padding-bottom: 70px !important;background-color: #000d1a !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}"][vc_row][vc_column delay="true" effect="zoomIn" delay_timer="100"][vc_custom_heading text="WINNING STRATEGY" font_container="tag:h6|text_align:left|color:%2300aae0" use_theme_fonts="yes"][ut_header align="left" title="WHAT ARE THE FINANCIAL IMPACTS?" title_color="#ffffff" lead_color="#b3b3b3"]The potential MIPS incentives and penalties via value-based payment adjustments are substantial. The financial impacts of these scores can amount to millions of dollars per organization and will significantly grow over the course of the next several years. Penalties assessed for poor performance or noncompliance will be used to fund incentive payments for high performers, so the “winners” effectively will be paid by the “losers.”[/ut_header][/vc_column][/vc_row][vc_row][vc_column delay="true" effect="zoomIn" delay_timer="100"][ut_animated_image size="large" align="right" delay="true" image="3331" effect="none" delay_timer="100"][/vc_column][/vc_row][/vc_section][vc_section hide_on_desktop="true" hide_on_tablet="true" css_animation="none" css=".vc_custom_1503093084972{padding-top: 100px !important;padding-bottom: 70px !important;background-color: #000d1a !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}"][vc_row][vc_column delay="true" effect="zoomIn" delay_timer="100"][vc_custom_heading text="WINNING STRATEGY" font_container="tag:h6|text_align:center|color:%2300aae0" use_theme_fonts="yes"][ut_header style="pt-style-2" align="center" title="WHAT ARE THE FINANCIAL IMPACTS?" title_color="#ffffff" lead_color="#b3b3b3"]The potential MIPS incentives and penalties via value-based payment adjustments are substantial. The financial impacts of these scores can amount to millions of dollars per organization and will significantly grow over the course of the next several years. Penalties assessed for poor performance or noncompliance will be used to fund incentive payments for high performers, so the “winners” effectively will be paid by the “losers.”[/ut_header][/vc_column][/vc_row][vc_row][vc_column delay="true" effect="zoomIn" delay_timer="100"][ut_animated_image size="large" align="right" delay="true" image="3331" effect="none" delay_timer="100"][/vc_column][/vc_row][/vc_section][vc_section css=".vc_custom_1502484741063{padding-top: 180px !important;padding-bottom: 150px !important;}"][vc_row hide_on_mobile="true"][vc_column width="1/2" delay="true" effect="fadeInLeft" delay_timer="100"][vc_custom_heading text="PUBLISHED RESULTS" font_container="tag:h6|text_align:left|color:%2300aae0" use_theme_fonts="yes"][ut_header align="left" title="WHAT ARE THE REPUTATIONAL IMPACTS?" title_color="#000000" lead_margin_right="50px"]MIPS will publish on a website each eligible clinician’s annual final score and the scores for each MIPS performance category within approximately 12 months after the end of the relevant performance year. For the first time, consumers will be able to see their clinicians rated on a scale of 0 to 100 and how they compare to peers nationally. The provider’s MIPS score could effect the decision making of individual patients, provider networks, medical staff credentialing, professional liability insurance, among other things.[/ut_header][/vc_column][vc_column width="1/2" delay="true" effect="fadeInRight" delay_timer="100"][ut_animated_image size="large" align="right" image="3339"][/vc_column][/vc_row][vc_row hide_on_desktop="true" hide_on_tablet="true" css=".vc_custom_1503093258358{margin-top: -80px !important;}"][vc_column delay="true" effect="fadeInLeft" delay_timer="100"][vc_custom_heading text="PUBLISHED RESULTS" font_container="tag:h6|text_align:center|color:%2300aae0" use_theme_fonts="yes"][ut_header style="pt-style-2" align="center" title="WHAT ARE THE REPUTATIONAL IMPACTS?" title_color="#000000"]MIPS will publish on a website each eligible clinician’s annual final score and the scores for each MIPS performance category within approximately 12 months after the end of the relevant performance year. For the first time, consumers will be able to see their clinicians rated on a scale of 0 to 100 and how they compare to peers nationally. The provider’s MIPS score could effect the decision making of individual patients, provider networks, medical staff credentialing, professional liability insurance, among other things.[/ut_header][ut_animated_image size="large" align="center" image="3339"][/vc_column][/vc_row][vc_row hide_on_mobile="true" css=".vc_custom_1503093291553{padding-top: 80px !important;}"][vc_column width="1/2" delay="true" effect="fadeInLeft" delay_timer="100" css=".vc_custom_1502742878229{margin-right: 50px !important;}"][ut_animated_image size="large" image="3343"][/vc_column][vc_column width="1/2" delay="true" effect="fadeInRight" delay_timer="100" css=".vc_custom_1502742969177{margin-left: 50px !important;}"][vc_custom_heading text="POSITIVE ADJUSTMENTS" font_container="tag:h6|text_align:left|color:%2300aae0" use_theme_fonts="yes"][ut_header align="left" title="TOP PERFORMERS WILL BE REWARDED" title_color="#000000" lead_margin_right="50px"]In 2017, a Composite Performance Score of three points will ensure that an eligible clinician or group will avoid a negative payment adjustment. Three points can be earned by reporting at least one quality measure, at least one improvement activity, or all five base measures in the Advancing Care Information category. Though it is relatively easy to avoid a negative payment adjustment in the 2017 (more difficult in 2018 and beyond), there is still a reason to strive for stellar performance. Exceptional performers who achieve a MIPS Composite Performance Score of at least 70 out of 100 will be eligible for an additional positive adjustment from a bonus pool of $500 million.[/ut_header][/vc_column][/vc_row][vc_row hide_on_desktop="true" hide_on_tablet="true" css=".vc_custom_1503093508301{margin-bottom: -70px !important;padding-top: 20px !important;}"][vc_column delay="true" effect="fadeInLeft" delay_timer="100" css=".vc_custom_1502742878229{margin-right: 50px !important;}"][vc_custom_heading text="POSITIVE ADJUSTMENTS" font_container="tag:h6|text_align:center|color:%2300aae0" use_theme_fonts="yes"][ut_header style="pt-style-2" align="center" title="TOP PERFORMERS WILL BE REWARDED" title_color="#000000"]In 2017, a Composite Performance Score of three points will ensure that an eligible clinician or group will avoid a negative payment adjustment. Three points can be earned by reporting at least one quality measure, at least one improvement activity, or all five base measures in the Advancing Care Information category. Though it is relatively easy to avoid a negative payment adjustment in the 2017 (more difficult in 2018 and beyond), there is still a reason to strive for stellar performance. Exceptional performers who achieve a MIPS Composite Performance Score of at least 70 out of 100 will be eligible for an additional positive adjustment from a bonus pool of $500 million.[/ut_header][ut_animated_image size="large" align="center" image="3343"][/vc_column][/vc_row][/vc_section]

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