CMS ANNOUNCES NEW PRIMARY CARE MODEL
Last week, the Centers for Medicare and Medicaid Services (CMS) announced the launch of a new voluntary model focused on primary care, the Making Care Primary (MCP) Model. This 10.5-year model will launch on July 1, 2024, and be tested in eight states. CMS intends for the MCP Model to strengthen the primary care infrastructure in the county while focusing on safety net and smaller or independent primary care organizations.
There will be three participation tracks that build on previous primary care models and provide a pathway for primary care clinicians to adopt prospective, population-based payments. CMS is working with state Medicaid agencies in the eight participating states and plans to engage with private payers in the coming months to engage in full care transformation across payers. The application will open in late summer 2023 for primary care organizations within the participating states.
CMS RELEASES 2021 QUALITY PAYMENT PROGRAM EXPERIENCE REPORT
On Monday, CMS released its 2021 Quality Payment Program (QPP) Experience Report, an infographic, and a Public Use File (PUF) to provide insights into QPP participation. The report and infographic review performance and participation data for the MIPS and Advanced Alternative Payment Models (APMs) performance tracks, while the PUF provides individual clinicians who received a 2021 MIPS final score with detailed information.
The mean final score for MIPS eligible clinicians participating as individuals rose from 64.66 in 2020 to 71.61 in 2021, and the number of Qualifying Advanced Model Participants (QPs) rose from 235,225 in 2020 to 271,231 in 2021. See the 2021 QPP Experience Report for more key findings and to review elements important to the QPP.
“CURRENT LANDSCAPE OF HEALTHCARE ON THE HILL" MGMA SUMMIT SESSION ON-DEMAND
Did you miss our “Current Landscape of Healthcare on the Hill” virtual session at the MGMA Summit? It's now available to attendees on-demand! Director of Government Affairs Claire Ernst was joined by President & CEO of Medical Revenue Cycle Specialists Kem Tolliver for an interactive discussion on the latest developments in Washington, D.C. impacting medical group practices. View the recording today to get an inside look at Congress’ priorities pertaining to physician practices, as well as the steps the Administration is taking to address key issues.
Use your Summit credentials to log in and search “Current Landscape of Healthcare on the Hill” to find the session!
