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COA: Practice Management
QPP: Part 1 – MIPS
QPP: Part 2 – APMs
Quality: Collection, Reporting
Opportunities in the New Healthcare Area
Keynote Speakers
Legislative Update
http://www.medscape.com/slideshow/compensation-2017-orthopedics-
6008580?src=wnl_physrep_170428_mscpmrk_comp2017&uac=229080MZ&impID=1336895&faf=1#14
Payment Reform 2017 - MACRAnyms:
1. MACRA: Medicare Access and CHIP Reauthorization Act of 2015
2. QPP: Quality Payment Program
◦ MIPS: Merit-based Incentive Payment System
ACI: Advancing Care Information
◦ APMs: Alternative Payment Models
◦ A-APMs: Advanced APMs
3. CJR: Comprehensive Care for Joint Replacement
4. SHFFT: Surgical Hip/Femur Fracture Treatment
MIPS vs. APM
90%+ will need to report via MIPS (Merit-
based Incentive Payment System)
Currently (2017) APM options limited,
particularly for specialists
Reimbursement (and ease of reporting)
strongly favor APMs, hence need to stay
aware of the opportunity
Should be more options available by 2018
(CJR, SHFFT, new “advanced” BPCI)
Medicare’s Quality Payment
Program (QPP)
Alexandra Page, M.D.
Chair, AAOS Health Care Systems Committee
Part 1: MIPS for Most
https://qpp.cms.gov/learn/eligibility/
Tim
Brox
Alexandra (Alexe) Page, M.D.
alexe.page@gmail.com(619) 840 8973
Musculoskeletal Health Care Solutions
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026 & on
Fee
Schedule
Putting It All Together:
+0.5% each year
No change +0.25%or
0.75%
MIPS
APM
QP in
Advanced
4 5 7 9 9 9
Max Adjustment
(+/-)
+5% bonus(excluded from MIPS)
https://qpp.cms.gov/learn/getprepared
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