RevCycle Intelligence October 17, 2018
Jacqueline LaPointe

Eligible clinicians can up their MIPS scores and payment adjustments by reporting on relevant chronic disease prevention measures, the AMA found.

The healthcare industry is moving beyond a “sick care” system and shifting to chronic disease prevention to lower costs and improve quality. However, the healthcare payment system is just catching up to the preventative care trend.

Fee-for-service perpetuates a sick care model in which providers get paid for treating an illness and delivering services. With payment depending on services delivered, chronic disease prevention is not a top priority for providers looking to boost their bottom line.

Value-based reimbursement programs like MACRA’s Merit-Based Incentive Payment System (MIPS) aim to pay providers for delivering preventative care services. By tying payments to...

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Topics: CMS, Govt Agencies, Health System / Hospital, Insurance, MACRA, Medicare, Payment Models, Physician, Provider, Regulations
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