Health Information Exchange and MIPS/MACRA
The Merit-based Incentive Payment System (MIPS) is part of the Medicare Access and CHIP Reauthorization Act (MACRA) that was signed into law in 2015. For those clinicians participating in the MIPS track, this year is a transition year deemed Pick Your Pace or “” as clinicians just need to report one patient under one measure to avoid the 2019 payment adjustment from CMS.
As providers prepare to participate in the full MIPS track next year, they will need to improve their chances of a high score in the four performance categories of Quality, Cost, Improvement Activities and Advancing Care Information. Participating in the SHARE health information exchange can help with Advancing Care Information (ACI), which replaces Meaningful Use for Medicare participants, and Improvement Activities.
Join SHARE and send your data to the state’s immunization registry, which can help you earn the full 10% for this performance measure. The immunization registry reporting measure is the only yes/no performance score measure.
Send care summaries, or continuity of care documents (CCDs), into the SHARE health information exchange, which counts as medium weight activity for the Improvement activities category (small practices need 2 medium-weighted activities or 1 high-weighted activity). You can also sign up with Direct Messaging from SHARE to send care summaries as part of referrals to other Direct-enabled providers.
Join SHARE and receive clinical results on your patients to improve your overall costs and utilization by educating patients on hospital utilization. (The cost category will measure the Medicare Part A and Part B costs of care related to inpatient hospital visits.) Next year, the weight of the cost category will account for 10% of overall MIPS score, so getting started now will be important to prepare for this shift.