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Value-Based Payment, Quality Reporting and Physician Feedback
As Medicare transforms from a passive payer to an active purchaser of higher quality, more efficient and effective healthcare, CMS is implementing an increasing number of quality measures and reporting & value-based payment programs. All these changes can be confusing, but atom Alliance is here to help you understand the Quality Payment Program.
Several Qsource initiatives compliment each other. See how other Qsource improvement initiatives align with this one. How many fit your practice’s needs?
Learn more about these initiatives: Cardiac Health, Diabetes, MU & HIT, VBP & PQRS, Immunizations, Behavioral Health
After providing technical assistance to hospitals and physician offices for years, Qsource will now assist a wide array of healthcare providers improve their quality and efficiency of care – including Inpatient Psychiatric Facilities (IPFs), PPS-exempt Cancer Hospitals (PCHs), inpatient and outpatient departments of hospitals, physician practices, and Ambulatory Surgical Centers (ASCs). Our experts stand ready to help assess clinical quality of care, care coordination, patient safety, patient experience of care, caregiver experience of care, population/community health and efficiency.
Which initiatives are right for you?
Featured Resources
Use the tabs to the right to search for specific tools and resources related to this page.
You can also search our comprehensive library of online resources, where you can sort by Qsource state, initiative, patient or provider focus or simply type in a keyword for quick access to the tools and resources you need.
Guidance on Care Management Services for Physicians
Connected Care Campaign Resource Hub
Quick Reference Guide for Accessing the 2013 QRUR and Performance Dashboard
Illustrates how to access and download a QRUR, along with the supplemental exhibits and Performance Dashboard from the CMS Enterprise Portal
List of Eligible Professionals
Value-Based Purchasing
Quality Resource and Use Reports (QRURs)
Connected Care Campaign Resource Hub
Quick Reference Guide for Accessing the 2013 QRUR and Performance Dashboard
Illustrates how to access and download a QRUR, along with the supplemental exhibits and Performance Dashboard from the CMS Enterprise Portal
List of Eligible Professionals
Value-Based Purchasing
Quality Resource and Use Reports (QRURs)
MACRA/MIPS: Introduction
During this MLN Connects® video, Dr. Patrick Conway, Principle Deputy Administrator and Chief Medical Officer; Dr. Kate Goodrich, Director of the Center for Clinical Standards and Quality; and Patrick Hamilton, Health Insurance Specialist provide an overview of the Medicare Quality Reporting Programs at CMS.
MACRA/MIPS: MACRA- Module 1
During this MLN Connects® video, CMS subject matter experts provide an overview of the Medicare Access and CHIP Reauthorization Act (MACRA), which makes three important changes to how Medicare pays those who give care to Medicare beneficiaries.
MACRA/MIPS: Incentive Payments and Adjustments- Module 2
During this MLN Connects® video, CMS subject matter experts discuss the incentives and payment adjustments associated with the Physician Quality Reporting System (PQRS), Value-Based Payment Modifier (VM), and the Electronic Health Record (EHR) Incentive Program. Find out why it is critical to report PQRS in 2016 to avoid the PQRS payment adjustment in 2018. Also learn about the incentives available for meaningful use in 2016.
MACRA/MIPS: PQRS- Module 3
During this MLN Connects® video, CMS subject matter experts discuss updates to the Physician Quality Reporting System (PQRS) for 2016. Find out how your PQRS performance in 2016 will determine if you will be assessed the 2 percent payment adjustment and value modifier in 2018.
MACRA/MIPS: VM- Module 4
During this MLN Connects® video, CMS subject matter experts discuss updates for the 2018 Value-Based Payment Modifier (VM). CMS is using a phased-in approach to assess the VM for all Medicare physicians between 2015 and 2017. Starting in 2018, physician assistants, nurse practitioners, clinical nurse specialists, and certified registered nurse anesthetists who are in groups of 2 or more EPs and those who are solo practitioners will be assessed the value modifier. Find out what you need to do during 2016, the performance year for the 2018 VM.
MACRA/MIPS: PC- Module 5
During this MLN Connects® video, CMS subject matter experts give an overview of the information that will be publically-available on the Physician Compare website. Physician Compare will include 2016 data for individuals, groups, and Accountable Care Organizations (ACOs) in late 2017.
MACRA/MIPS: MU CEHRT- Module 6
During this MLN Connects® video, CMS subject matter experts provide an overview of the 2016 requirements for the Electronic Health Record (EHR) Incentive Programs. The final rule made significant changes to the program to help providers meet program requirements. Find out about the alignment of objectives and measures from both stage 1 and stage 2 into one set of objectives.
PQRS/Value-Based Payment Modifier: What Medicare Professionals Need to Know in 2015 Video Presentation
This CMS MLN Connects® video presentation provides an overview of the Physician Quality Reporting System, or PQRS, and how your participation in PQRS in 2015 will determine how the Value-Based Payment Modifier will be applied to physicians’ reimbursement in 2017.
During this MLN Connects® video, Dr. Patrick Conway, Principle Deputy Administrator and Chief Medical Officer; Dr. Kate Goodrich, Director of the Center for Clinical Standards and Quality; and Patrick Hamilton, Health Insurance Specialist provide an overview of the Medicare Quality Reporting Programs at CMS.
MACRA/MIPS: MACRA- Module 1
During this MLN Connects® video, CMS subject matter experts provide an overview of the Medicare Access and CHIP Reauthorization Act (MACRA), which makes three important changes to how Medicare pays those who give care to Medicare beneficiaries.
MACRA/MIPS: Incentive Payments and Adjustments- Module 2
During this MLN Connects® video, CMS subject matter experts discuss the incentives and payment adjustments associated with the Physician Quality Reporting System (PQRS), Value-Based Payment Modifier (VM), and the Electronic Health Record (EHR) Incentive Program. Find out why it is critical to report PQRS in 2016 to avoid the PQRS payment adjustment in 2018. Also learn about the incentives available for meaningful use in 2016.
MACRA/MIPS: PQRS- Module 3
During this MLN Connects® video, CMS subject matter experts discuss updates to the Physician Quality Reporting System (PQRS) for 2016. Find out how your PQRS performance in 2016 will determine if you will be assessed the 2 percent payment adjustment and value modifier in 2018.
MACRA/MIPS: VM- Module 4
During this MLN Connects® video, CMS subject matter experts discuss updates for the 2018 Value-Based Payment Modifier (VM). CMS is using a phased-in approach to assess the VM for all Medicare physicians between 2015 and 2017. Starting in 2018, physician assistants, nurse practitioners, clinical nurse specialists, and certified registered nurse anesthetists who are in groups of 2 or more EPs and those who are solo practitioners will be assessed the value modifier. Find out what you need to do during 2016, the performance year for the 2018 VM.
MACRA/MIPS: PC- Module 5
During this MLN Connects® video, CMS subject matter experts give an overview of the information that will be publically-available on the Physician Compare website. Physician Compare will include 2016 data for individuals, groups, and Accountable Care Organizations (ACOs) in late 2017.
MACRA/MIPS: MU CEHRT- Module 6
During this MLN Connects® video, CMS subject matter experts provide an overview of the 2016 requirements for the Electronic Health Record (EHR) Incentive Programs. The final rule made significant changes to the program to help providers meet program requirements. Find out about the alignment of objectives and measures from both stage 1 and stage 2 into one set of objectives.
PQRS/Value-Based Payment Modifier: What Medicare Professionals Need to Know in 2015 Video Presentation
This CMS MLN Connects® video presentation provides an overview of the Physician Quality Reporting System, or PQRS, and how your participation in PQRS in 2015 will determine how the Value-Based Payment Modifier will be applied to physicians’ reimbursement in 2017.
PQRS Is a Four Letter Word (Requires information)
Logic Models
The QIO Program helps you embrace data in your healthcare setting
Failure Modes & Effects Analysis (FMEA)
The QIO Program shares 5 steps in the Failure Modes and Effects Analysis (FMEA) to anticipate potential problems before they occur
Root Cause Analysis (RCA)
The QIO Program demonstrates how to identify the root cause of a problem using The 5 Whys
QIO Documentary
Learn about the history of the QIO Program, from 1966 through today.
IHI Whiteboard: Model for Improvement, Clip 1
IHI Whiteboard: Model for Improvement, Clip 2
IHI Whiteboard: PDSA Cycles, Part 1
IHI Whiteboard: PDSA Cycles, Part 2
IHI Whiteboard: Cause & Effect Diagrams
The QIO Program helps you embrace data in your healthcare setting
Failure Modes & Effects Analysis (FMEA)
The QIO Program shares 5 steps in the Failure Modes and Effects Analysis (FMEA) to anticipate potential problems before they occur
Root Cause Analysis (RCA)
The QIO Program demonstrates how to identify the root cause of a problem using The 5 Whys
QIO Documentary
Learn about the history of the QIO Program, from 1966 through today.
IHI Whiteboard: Model for Improvement, Clip 1
IHI Whiteboard: Model for Improvement, Clip 2
IHI Whiteboard: PDSA Cycles, Part 1
IHI Whiteboard: PDSA Cycles, Part 2
IHI Whiteboard: Cause & Effect Diagrams
Value-Based Payment, Quality Reporting and Physician Feedback Blog
Community Coalition Building
Community Coalition Building The Beatles song, “With a Little Help from My Friends”, could very well be the theme song for the statewide community coalition effort designed to get healthcare providers talking, interacting and sharing solutions. A community coalition is a diverse group of healthcare stakeholders who collectively desire to improve all aspects of healthcare…
Nursing Home Recruitment
Nursing Home Recruitment Being a caregiver isn’t an easy job. We know what it’s like to care for patients, while trying to deal with complex policies and procedures on a daily basis. In fact, most of our Qsource staff has worked in a clinical setting at one time or another during their career. So we…
Direct Contracting Model Options Payment – Part 1 Webinar
Join the Direct Contracting Model Options Payment Part 1 Webinar! The Center for Medicare and Medicaid Innovation (CMMI) will host a webinar on January 15, 2020 to provide an overview of the Direct Contracting model’s payment methodology. During the session, the Direct Contracting model team will present on key aspects of the Direct Contracting financial…
News
Community Coalition Building
Community Coalition Building The Beatles song, “With a Little Help from My Friends”, could very well be the theme song for the statewide community coalition effort designed to get healthcare providers talking, interacting and …