The Time is Now: Let Health eParadigm Help you Prepare for New Payment Models

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is intended to rapidly push the transformation of the US healthcare system toward performance-based payment models across both government and commercial payers. The law provides strong incentives to physicians for participation in Medicare risk-sharing Alternative Payment Models (APMs). For physicians who choose not to become involved in APMs, they will be required to report and perform well on four categories - quality, resource use, health information technology use and clinical practic e improvement - in the new Merit-based Incentive Payment System (MIPS).

Bearing risk a nd reporting on clinical performance requires the ability to collect, analyze and report on clinical performance data. Whether it is identifying high cost patients, reducing readmissions and adverse events, coordinating care and  mana ging resource use, or accurately reporting quality measures to various registries and payers, clinicians will need to make better use of health information technology to help them avoid financial penalties and allow their practices to prosper in the new environment.

HealtheParadigm provides the tools necessary to CONNECT. ANALYZE. TRANSFORM.

CLICK HERE to access physician payment reform resources from the AMA.
CLICK HERE to access physician payment resources from the CMS.
CLICK HERE to access the Health eParadigm MIPS Quiz.
Increasing Georgia Physician Participation in Data Sharing
In January, 2017 MAG launched Health e Paradigm to support physicians in Georgia in electronically exchanging critical medical information for patients they share. Initial analysis by MAG indicates less than five percent of physicians in Georgia are participating in any type of query based health information exchange. This low percentage affects patient care and increases the administrative paperwork burden for the patient, the physician and the payers. 
Health e Paradigm provides the technology structure that allows sharing of patient summary of care documents with other physicians and hospitals caring for the patient who participate in the exchange, and it is available 24/7. With over 20,000 active physicians in Georgia and only a few sharing information, MAG is leading the way to ensure physicians have the tools they need to provide the safest care for patients and be successful in the new payment models.
Georgia Physicians Working Together to Achieve Success in the New Health Care Payment Models

In the ever evolving world of health care payment models, performance based 
payment models seem to have staying power. The 2015 MACRA legislation and the regula tions released in October 2016 outline the path physicians will take to transition to the new payment models. Most Georgia physicians are not in performance based payment models yet, but CMS expects them to move in this direction in the next five years. MAG has endorsed Health e Paradigm to help with this. 

HealtheParadigm provides a low cost, turn-key solution to support physicians in this transition, or if they choose to remain in a fee for service model. Now essential for physicians regardless of the path selected, is a network to share critical patient data, advanced engagement tools. Physicians in Georgia, through HealtheParadigm, and across the nation are working together to deploy a proven backbone of seamlessly integrated, best of breed technology tools that are 
necessary for financial success in the new payment models.

To get a better understanding of the new payment models, please view our dates for the upcoming Informational Webinars and CME Events listed below.
Equipping Physicians for the Shift to Quality Payment Programs Event Recap
Area physicians in Macon on January 31, enjoying their time gaining insight about the new payment programs.
Presenting, Equipping Physicians for the Shift to Quality Payment Programs, Laura McCrary Ed.D, Senior VP, KHS
March 21 and March 22, marked the continuation of the CME program,
Equipping Physicians for the Shift to Quality Payment Programs in Dillard and Gainesville. We are especially thankful to Dr. Karl Schultz, the head of Hall County Medical Society and Dr. Steven Jarrard, the head of North Georgia Mountains Medical Society.

Many attending physicians admitted to never truly understanding how the changes in reimbursement will directly affect their practice until now. Our goal is to follow up with attendees and continue to educate them on how their practice will be ready for the MIPS/MACRA requirements.

See CME events listing below for upcoming programs and locations.
Upcoming Events
Informational Webinars
Transformative Healthcare in 2017: The Physician-led Model
CME Events
Equipping Physicians for the Shift to Quality Payment Programs
May 23, 2017
Druid Hills Golf Club, Atlanta, GA
More Details TBA
May 24, 2017
Merry Acres Inn & Event Center. Albany, GA
More Details TBA

Tradeshow Appearances
April 11 - 12, 2017
Georgia Public Health Association, Atlanta Marriott Marquis Hotel, Atlanta, GA
April 30 - May 2, 2017
Georgia Medical Group Management Association (GMGMA) 2017 Conference, The Sonesta Resort, Hilton Head Island, SC
Contact Information

Cardelia Reid
Regional Director
Health eParadigm

Susan Moore
Director of Health Policy and Third Party Payer  Advocacy