As we approach the last quarter of the year, it’s essential to focus on triple-weighted measures on your Medicare Advantage (MA) contracts. These measures—related mainly to medication adherence, diabetes control, blood pressure control—count more towards your performance than single weighted measures in the Centers for Medicare and Medicaid Service’s (CMS) pay-for-performance Star Ratings system. Triple-weighted measures play a critical role in a health plan’s ability to earn four or more Stars, the threshold at which practices can achieve a higher proportion of shared savings dollars and quality bonuses. Learn more about how VHAN can help members succeed in these important areas.

To improve Erlanger Health System’s (EHS) AWV completion rate and deliver vital preventive care, the Erlanger Medical Group (EMG) quality team implemented an Annual Wellness Visit template and clinical education program in 2018. Since implementing the new process, Erlanger has experienced a year-over-year increase in total Medicare AWVs. Read the article to leverage best practices from the EMG quality team.

The Centers for Medicare & Medicaid Services (CMS) issued a final rule on Nov. 1 that updates the physician fee schedule for calendar year 2023. The rule also includes numerous changes that directly impact the Medicare Shared Savings Program and the Quality Payment Program (QPP).

Coinciding with VHAN’s 10th anniversary, the third season of the miniVHAN podcast looks back at the unique vision for VHAN and how the network launched amidst a major transition in health care from fee-for-service to value-based care following the signing of the Affordable Care Act in 2010.

Continuing to use the COVID-19 public health emergency to extend relief to providers, CMS is applying the Merit-based Incentive Payment System (MIPS) automatic extreme and uncontrollable circumstances (EUC) policy to all clinicians eligible to participate in MIPS as individuals for the 2021 performance year.

As we kick off 2022, we want to make sure our Connected Care ACO participants are up to date on CMS Beneficiary Notification requirements for the Medicare Shared Savings Program (MSSP).

A new MSSP checklist and an EHR-based quick reference guide helps your team identify important information for quality measures.

One of Dr. Odom’s missions is to educate colleagues on how to leverage Medicare Annual Wellness Visits (AWVs), document HCCs and improve RAF scores while staying in compliance with the coding and documentation requirements for those visits.