Merit-based Incentive Payment System (MIPS): Eligibility and Participation in the 2023 Performance Year - Traditional MIPS
Provides an overview of the Merit-Based Incentive Payment System (MIPS) eligibility criteria. Addresses calculation of the low-volume threshold exclusion at the individual and group levels, opt-in and voluntary reporting options, and the impact of special status designations such as rural and small practices.
Date: 03/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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A Novel Cardio-Oncology Service Line Model in Optimizing Care Access, Quality and Equity for Large, Multi-Hospital Health Systems
Examines the impact of establishing an academic cardio-oncology service line model for a large, multi-hospital health system to improve access and equity, with rural populations as a primary focus. Discusses multidisciplinary approach, infrastructure elements, quality control, central governance, creation of protocols, and establishment of a cardio-oncology registry.
Author(s): Yan Liu
Citation: Cardio-Oncology, 9, 16
Date: 03/2023
Type: Document
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California Federally Qualified Health Center Alternative Payment Model Implementation Guide
Provides an overview on how the California Federally Qualified Health Center Alternative Payment Model (FQHC APM) may impact FQHCs and how facilities can prepare for the transition. Discusses the financial impact of the FQHC APM and assists facilities and staff in setting priorities, determining staffing needs, understanding necessary data collection, building staff competencies, and more.
Author(s): Greg Howe, Karla Silverman, Rob Houston
Date: 03/2023
Type: Document
Sponsoring organizations: California Health Care Foundation, Center for Health Care Strategies
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Financial Risk Acceptance among Rural Health Care Providers Participating in the Quality Payment Program
Summarizes nonmetropolitan and metropolitan providers' participation in different Quality Payment Program tracks and subdivisions, and evaluates provider and patient-panel characteristics associated with financial risk acceptance. Features statistics on risk acceptance with breakdowns by specialty type and metropolitan status, and patient panel characteristics by risk type.
Author(s): Xi Zhu, Mina Shrestha, Fred Ullrich, Keith Mueller
Date: 03/2023
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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2022 National Healthcare Quality and Disparities Report: Chartbook on Patient Safety
Summarizes trends in healthcare quality and disparities for metro (urban) to noncore (rural) populations. Includes quality measures for patient safety, person-centered care, care coordination, effective treatment, healthy living, and affordability.
Author(s): Barbara Barton, Darryl Gray, Cecilia Hahn, et al.
Date: 03/2023
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Merit-Based Incentive Payment System (MIPS): Participating in the Improvement Activities Performance Category in the 2023 Performance Year - Traditional MIPS
Provides details on how to participate in the performance improvement part of the Merit-Based Incentive Payment System (MIPS), one of two tracks under the Medicare Quality Payment Program. Identifies differences for small practices and clinicians located in a rural or Health Professional Shortage Area.
Date: 03/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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MedPAC Report to the Congress: Medicare Payment Policy: Home Health Care Services: Chapter 8
Discusses payment adequacy for home health care services and information on supplemental payments for home health services provided in low-use rural areas. Features statistics on Medicare margins for home health agencies between 2019-2021 with breakdowns by urban and rural areas and the number of home health periods provided to rural beneficiaries by state Review Choice Demonstration status in 2021.
Date: 03/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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RHCs & the Medicare Shared Savings Program - What You Need to Know
Recording of a March 7, 2023, webinar providing an overview of the transition to value-based care, Accountable Care Organizations, and the Medicare Shared Savings Program. Discusses considerations for Rural Health Clinic participation in the Shared Savings Program. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 03/2023
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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CMS Bundled Payments for Care Improvement Advanced Model: Fourth Evaluation Report
Third annual report of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving the quality of care. Explores the impact of BPCI Advanced on episode payments, utilization, and quality of care, as well as estimates of Medicare program savings in Model Year 3. Analyzes BPCI Advanced outcomes for beneficiaries from populations that have been historically underserved, including beneficiaries in rural areas and areas with a high Area Deprivation Index (ADI).
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 03/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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NQF 2022 Activities: Report to Congress and the Secretary of the Department of Health and Human Services
Summarizes the 2021 work of the National Quality Forum to measure healthcare quality. Includes a discussion on leveraging quality measures to improve rural health.
Date: 03/2023
Type: Document
Sponsoring organization: National Quality Forum
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