Quality Payment Program Analysis - 988 Words

It is important to understand as the years pass by and the time is changing, the world of healthcare is changing as well, especially in terms of healthcare reform. One major change in healthcare reform was a course of action that required healthcare organizations to submit mandatory data on the quality care of their patients. This plan was initiated by the Centers for Medicare and Medicaid in 2015, in which they implemented the Medicare Access and CHIP Re-authorization Act (MACRA). This act modernized how Medicare payments are tied to quality and cost of care (EClinical, n.d.). MACRA initially focused on Meaningful Use (MU), PQRS and Valued-Based Modifiers (VBMs). In fact, when it came time to report quality data, if an organization did†¦show more content†¦As one can see, a decrease in Medicare reimbursements can be a significant deficit for any healthcare facility. Therefore, the main issue within our private Gastroenterology practice located in Providence, Rhode Island, i s having a full understanding of the recent adjustment implemented by the Centers for Medicare and Medicaid. Essentially, it is crucial for our organization to learn and adapt to the new reporting program in order to receive maximum government reimbursements and not be deemed for any errors. Unfortunately, the new change in quality reporting has added stress to not just our organization, but also other organizations across the nation. In order to become proactive, our organization is going to implement an educational program. The purpose is to create an informative, hands-on program that allows the physicians and administrators to fully grasp MIPS. The program will contain all the necessary materials to help the individuals have complete knowledge and awareness of the future of healthcare reform. Consequently, the real issue is to understand the new MIPS program in its entirety. If healthcare organizations decide to do without such a necessity, then the issue of MIPS will affect the population health, vulnerableShow MoreRelatedTheories And Theories Of Nursing Essay1211 Words   |  5 Pagesa process for concept analysis specific to nursing to help graduate students to apply and examine the different phenomena’s that are of interest to nurses in 1986 (McEwen Wills, 2014). Over the course of time this original approach to concept analysis in nursing has been adjusted to meet the needs of the nursing profession to enhance the clarity and distinctiveness of nursing concepts (McEwen Wills, 2014). 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The first quality initiative that could increase patient satisfaction and potentially reduce healthcare cost is the national data warehouse. According to Brennan, Cafarella, Kocot, McKethan, Morrison, Nguyen, Shepard Williams II (2009), â€Å"this type of quality analysis needs to be valuableRead MoreHealth Care Case Study1142 Words   |  5 Pagesworld. Specifically, the US does not have a government run health insurance program that entitles all citizens to have health insurance automatically. Additionally, the system does not function as a well-integrated network of elements that complement each other, instead a fragmented structure is currently in place. Without equal access to healthcare through a uniform insurance platform, citizens struggle to access quality healthcare. The financial aspect of the US’s current healthcare system is complexRead MoreMedicare Reimbursement Model Pros And Cons1092 Words   |  5 PagesValue System (RBRVS) for reimbursement rate setting. 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