Feature Stories

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Ready, Set, MIPS! – Pace Yourself for Participation

The clinician community has faced the task of maintaining adherence to the incrementally implemented and distinct Center for Medicare & Medicaid Services (CMS) quality reporting program requirements for close to a decade now. As the collective provisions of the Medicare Access and CHIP Reauthorization Act (MACRA) streamline to form the Quality Payment Program (QPP), the idea of trying to take off participating full speed in a marathon seemed nearly impossible... Read more...

OPPS Pharmacy-Related Clinical Quality Measures Revised for 2017

In hopes of reducing Medicare prescription drug costs, the Centers for Medicare & Medicaid Services (CMS) is constantly analyzing trends associated with such costs under Part B and Part D. As one of the largest purchasers of prescription drugs in the United States, it is obvious that CMS must understand the underlying causes and proactively identify trends and develop methods for protection of program funds while remaining under scrutiny of the public to in order to provide the nation’s aging population with high-quality, high-value, efficient care. ...Read more...

  1. HVBP
  2. IQR
  3. IT
  4. HRRP
  5. HAC
  6. PQRS
  7. OQR
  8. ASCQR
  9. IRFQRP
  10. LTCHQR
  11. PCHQR
  12. IPFQR
  13. HHQRP
  14. HQRP
  15. Bundled Payments
  16. Patient Safety
  17. Finance
  18. ACOs
  19. Process Improvement
  20. Research

Hospital Quality Reporting Programs Slow Down with Electronic Reporting and Speed Up with Cost Efficiency

JWritten by Vicky Mahn-DiNicola, RN, MS, CPHQ

The Centers for Medicare & Medicaid Services (CMS) finalized multiple changes to quality reporting programs for hospitals in the Inpatient Prospective Payment System (IPPS) final rule for 2017, CMS-1655-F, which was posted to the Federal Register on Aug. 22, 2016. This article summarizes the most substantive changes for five hospital quality reporting programs. ...Read more...

Hospital Quality Reporting Programs Slow Down with Electronic Reporting and Speed Up with Cost Efficiency

JWritten by Vicky Mahn-DiNicola, RN, MS, CPHQ

The Centers for Medicare & Medicaid Services (CMS) finalized multiple changes to quality reporting programs for hospitals in the Inpatient Prospective Payment System (IPPS) final rule for 2017, CMS-1655-F, which was posted to the Federal Register on Aug. 22, 2016. This article summarizes the most substantive changes for five hospital quality reporting programs. ...Read more...

Cutting-Edge Quality Strategies Take Center Stage at HIMSS Conference

Written by Mark Spivey VBPmonitor.com Correspondent

The style at the HIMSS 16 Conference & Exhibition in Las Vegas last week was provided by none other than keynote speaker and recent Super Bowl champ Peyton Manning of the Denver Broncos. .. Read more...

Hospital Quality Reporting Programs Slow Down with Electronic Reporting and Speed Up with Cost Efficiency

JWritten by Vicky Mahn-DiNicola, RN, MS, CPHQ

The Centers for Medicare & Medicaid Services (CMS) finalized multiple changes to quality reporting programs for hospitals in the Inpatient Prospective Payment System (IPPS) final rule for 2017, CMS-1655-F, which was posted to the Federal Register on Aug. 22, 2016. This article summarizes the most substantive changes for five hospital quality reporting programs. ...Read more...

Hospital Quality Reporting Programs Slow Down with Electronic Reporting and Speed Up with Cost Efficiency

JWritten by Vicky Mahn-DiNicola, RN, MS, CPHQ

The Centers for Medicare & Medicaid Services (CMS) finalized multiple changes to quality reporting programs for hospitals in the Inpatient Prospective Payment System (IPPS) final rule for 2017, CMS-1655-F, which was posted to the Federal Register on Aug. 22, 2016. This article summarizes the most substantive changes for five hospital quality reporting programs. ...Read more...

MIPS Quality Performance Highlights for 2017

Written by Stephanie Doran, RHIA

The traditions of the Medicare fee-for-service (FFS) payment model were established in order to control the cost of physician payments, but this longstanding method used to update Medicare physician payments bred uncertainty and confusion, creating circumstances that demanded change. In the midst of the rapidly changing field of healthcare, physicians should be well aware that modern payment methodologies have shifted focus from volume to value, and those in charge have moved to increase accountability on both cost an ... Read more...

Don’t Forget About Hospital Outpatient Quality Measures

Written by Kim Charland, BA, RHIT, CCS

The Centers for Medicare and Medicaid (CMS) released the 2017 OPPS Rule on July 6, 2016 and accepted comments up until Tuesday, September 6, 2016. Now CMS has the task of reading and responding to all of the comments received in the final rule that is expected out sometime in November. .. Read more...

Don’t Forget About Hospital Outpatient Quality Measures

Written by Kim Charland, BA, RHIT, CCS

The Centers for Medicare and Medicaid (CMS) released the 2017 OPPS Rule on July 6, 2016 and accepted comments up until Tuesday, September 6, 2016. Now CMS has the task of reading and responding to all of the comments received in the final rule that is expected out sometime in November. .. Read more...

CMS Releases More Final 2016 PPS Rules: Quality Continues to Be a Major Component

August 11, 2015 / Kim Charland, BA, RHIT, CCS

Below are some excerpts from the 2016 final rules related to value-based purchasing (VBP) and quality for inpatient psychiatric facilities (IPFs) and inpatient rehabilitation facilities (IRFs). We will be following up with additional articles over the next few weeks featuring industry reaction, so please stay tuned. Background on the IPFQR Program: The IPFQR Program is a pay-for-reporting program... Read more...

What Impact Will the IMPACT Act Have? Depends on What We Do Now


Written by Robert Latz, PT, DPT, CHCIO

The first sentence of the Improving Medicare Post-Acute Care Transformation Act (IMPACT Act) of 2014 includes the following language: “for standardized post-acute care assessment data for quality, payment, and discharge planning, and for other purposes.” The legislation had strong bipartisan support and became law when signed by President Obama on Oct. 6, 2014. Although the document is short by legislative standards, at only 20 pages, the reach of this law is enormous. ... Read more...

Coming Soon!

Thank you for visiting Panacea’s newest monitor - VBPmonitor.com. VBPmonitor will be covering the news for all the VBP initiatives including the PPS-Exempt Cancer Hospital Quality Reporting Program (PCHQR). If you are interested in contributing a relevant article, please read our Writer’s Guidelines.

Thank You,
Kim Charland
VBPmonitor Editor

Hospital Quality Reporting Programs Slow Down with Electronic Reporting and Speed Up with Cost Efficiency

JWritten by Vicky Mahn-DiNicola, RN, MS, CPHQ

The Centers for Medicare & Medicaid Services (CMS) finalized multiple changes to quality reporting programs for hospitals in the Inpatient Prospective Payment System (IPPS) final rule for 2017, CMS-1655-F, which was posted to the Federal Register on Aug. 22, 2016. This article summarizes the most substantive changes for five hospital quality reporting programs. ...Read more...

Coming Soon!

Thank you for visiting Panacea’s newest monitor - VBPmonitor.com. VBPmonitor will be covering the news for all the VBP initiatives including the Home Health Quality Reporting Program (HHQRP). If you are interested in contributing a relevant article, please read our Writer’s Guidelines.

Thank You,
Kim Charland
VBPmonitor Editor

Coming Soon!

Thank you for visiting Panacea’s newest monitor - VBPmonitor.com. VBPmonitor will be covering the news for all the VBP initiatives including the Hospice Quality Reporting Program (HQRP). If you are interested in contributing a relevant article, please read our Writer’s Guidelines.

Thank You,
Kim Charland
VBPmonitor Editor

Are you Ready to Bundle?

Written by Laurie A. McBrierty, MLT, ASCP

The Centers for Medicare & Medicaid Services (CMS) has announced that the proposed rule for bundled payments (also known as episode payments) for high-quality, coordinated cardiac and hip fracture care modules will be targeted for initial implementation in 98 randomly selected metropolitan demonstration areas starting in July 2017. .. Read more...

Coming Soon!

Thank you for visiting Panacea’s newest monitor - VBPmonitor.com. VBPmonitor will be covering the news for all the VBP initiatives including Patient Safety. If you are interested in contributing a relevant article, please read our Writer’s Guidelines.

Thank You,
Kim Charland
VBPmonitor Editor

Price Transparency in a Value-Based Payment World

January 12, 2016 / Gregory M. Adams, FHFMA

As the healthcare industry adapts to the new reality of value-based payments, the issue of how best to implement price transparency continues. Given the complexity of how prices historically have been developed by hospitals, it is no surprise that developing rational prices using a methodological approach based on cost and market data can be no easy task. In fact, it could be argued that in order to implement price transparency, hospitals need to start with revamping the way they develop their prices. To focus on the publishing of current prices with.. Read more...

ACOs: The Evolving Frontier

December 8, 2015 / Kai Tsai

Recently, the Office of Inspector General (OIG) for the U.S. Department of Health and Human Services (HHS) unveiled its formal Work Plan for the 2016 fiscal year (which began on Oct. 1, 2015), and it outlines the new and ongoing activities the OIG plans to focus on during the current fiscal year and beyond. Created in 1976, the OIG is responsible for providing independent and objective oversight of HHS programs, including Medicare and Medicaid, in order to combat system fraud, waste, and abuse.... Read more...

Good Health in the Community

Written by Michelle Hafner, RN, BSN and Robert Fortini, PNP

Bon Secours Home Care, the Instructional Visiting Nurse Association (IVNA), and the Bon Secours Virginia Hospital System and Bon Secours Medical Group have collaborated to develop an integrated approach to providing healthcare support within the community and at home, leading to decreased hospitalizations and increased ....Read more...

Leveraging Evidence-Based Medicine in the Hospital Setting

March 20, 2015 / Ronald Hirsch, M.D.

When caring for a patient, doctors use many resources to determine what care to provide. They first perform a thorough history and physical examination to help them develop a differential diagnosis – the list of possible conditions that may be present. For example, if the patient has chest pain, the differential diagnosis could range from simple heartburn or a pulled muscle to a blood clot in the lungs or a life-threatening tear in the aorta. They may develop this differential from memory or make use of a textbook, a medical journal such as the New England Journal of Medicine, or an authoritative, evidence-based resource, the best known of ... Read more...

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