3 Ways Healthcare Organizations Can Foster More Mindful Documentation

There has been extensive conversation around Meaningful Use (MU) and the passage of Medicare Access and CHIP Reauthorization Act (MACRA). CMS announced earlier in the year a shift from MU to MACRA which streamlines the transition from fee-for-service to value. MACRA highlights three changes in how to pay those who treat Medicare beneficiaries, including:

  • Ending the Sustainable Growth Rate (SGR) formula for determining Medicare payments for healthcare provider services
  • Making a new framework for rewarding health care providers for giving better care not just more care
  • Combining existing quality reporting programs into one new system

As the healthcare industry begins to move towards MACRA– how can providers and payers prepare? CMS outlines the Merit-Based Incentive Payment System (MIPS) as one of the quality programs that enable providers to map back to MACRA.

MIPS is a great program that helps providers evaluate performance from a variety of perspectives as it relates to quality and measure how they are offering care in a meaningful way. With a timeline put in place, how can healthcare organizations lay the groundwork to build towards it? Here are three areas to keep in mind:

  1. Technical Readiness – Do you have the appropriate analytics platform and metrics put in place? Analytics is the first step towards implementing MIPS. This aligns the organization by establishing benchmarks and goals, along with using data to properly track efforts.
  2. Collaboration between clinical and business departments – Are both clinicians and the c-suite aligned on results? This conversation is an important one to have. Clinicians and c-suite executives, although envisioning the same goal, have different methods in achieving them. Connecting and establishing a roadmap is crucial to keeping everyone honest and on-track.
  3. Close-eye on data – Data is key and with an effective analytics program it can shine a light on gaps in care. Data allows organizations to pivot strategies so that roadblocks are less costly and time consuming.

To learn more about how to effectively track towards MIPS – check out our performance management solution

1 – Centers for Medicare & Medicaid Services

MedeAnalytics

MedeAnalytics is a leader in healthcare analytics, providing innovative solutions that enable measurable impact for healthcare payers and providers. With the most advanced data orchestration in healthcare, payers and providers count on us to deliver actionable insights that improve financial, operational, and clinical outcomes. To date, we’ve helped uncover millions of dollars in savings annually.

Leave a Comment





Get our take on industry trends

How to run a successful analytics rollout

January 10, 2024

Healthcare executives across the industry are citing value-based care and health equity as two of their top priorities in 2024.…

Read on...

Using analytics to integrate physical and mental health in whole-person healthcare

December 26, 2023

In the realm of healthcare, it is paramount to view physical and mental health as inherently interconnected aspects of wellbeing…

Read on...

No stone left unturned: Leveraging telehealth for whole-person care

December 20, 2023

Social determinants of health are grouped into five domains: economic stability, education access and quality, healthcare access and quality, neighborhood…

Read on...

Nailing the fundamentals of value-based care

December 12, 2023

It was the summer of 1961, and Vince Lombardi was set to coach the Green Bay Packers. In front of…

Read on...