Question

1) Pick a Medicare Access and Children's Health Insurance Program (CHIP) Reauthorization Act of 2015 (MACRA) Merit-based Incentive Payment System (MIPS) and Promoting Interoperability (PI) measure (either 2018 or 2019 are fine)

Summarize the measure

• Discuss why you think CMS is including this measure
• Was this measure also part of Meaningful Use Stage 1 or Stage 2?
• Has it changed in PI?

Answer 1

MACRA:Is a legislation signed in to law on April 2015.It replaces SSN's with medical cards.It created quality payment program.It rewards more to value than volume.it also gives bonus payments for participation.

The Merit-based Incentive Payment System (MIPS) is the payment track created under MACRA. MIPS is the payment method which adjusts payments which are  based on performances.The four performance categories are  quality,costs,promoting interoperability and improvement activities.

The PI category replaces the Medicare EHR Incentive Program .This requires clinicians to report set of measures .If they fail to report there score becomes zero for the PI performance indicator.

Under the HITECH the incentive payments are available for eligible professionals.The  Act specifies three main components of meaningful use: The use of EHR in proper manner, the use of  EHR technology for exchange of information to improve quality and the use of EHR to submit quality and other measures.

In the PI the set of measures are predefined and are needed to report the measures and if they fail there scores comes down.