Do You Have a Plan for Reporting Your eCQMs?
Georgia physicians are now accessing powerful performance data through Health e Paradigm, a new physician-led health information network, endorsed by the Medical Association of Georgia.

Health e Paradigm is pleased to announce that its partner, KaMMCO Health Solutions, received the National Committee for Quality Assurance (NCQA) certification for all of the original 25 Electronic Clinical Quality Measures (eCQMs) for 2017 and are adding 14 more for 2018.

eCQMs are indicators of the quality of care provided to a patient, including measures that reflect management of chronic disease, preventive care received, use of appropriate medications and overall cost of care reductions. These indicators are important reporting mechanisms in the new era of Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APM) in the Centers for Medicare and Medicaid Services' Quality Payment Programs initiated this year.

NCQA certification of the Health e Paradigm reporting capability assures providers and payers that the new technology has undergone rigorous and extensive testing. Health e Paradigm can now offer HIE clients with live data in the exchange the ability to leverage the aggregated data in yet another actionable way through eCQM reports. This is a critical differentiator when comparing Health e Paradigm analytics capabilities to traditional EHR vendor-based analytics reporting.

The Health e Paradigm analytics product compiles, aggregates and reports data from all providers participating in the HIE, and computes the quality metrics across all of the providers the patient has received care from, delivering a more accurate picture of the patient's longitudinal medical record. This reporting method and the resulting data analytics enhance a provider's ability to successfully report quality measures.

Call 877.921.7196 to learn more.
Quality Payment Program Year 2 Policies Gradually Prepare Clinicians for Full Implementation
In early November, the Centers for Medicare & Medicaid Services (CMS) issued the final rule with comment for the second year (calendar year 2018) of the Quality Payment Program (QPP) as required by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).

Thanks to feedback from clinicians, the Year 2 final rule continues many of the flexibilities included in the transition year (2017), while also preparing for a more robust program in Year 3.

Year 2 Final Rule highlights of the QPP are meant to reduce burden and offer more ways to successfully participate. Major highlights include:

  • Allowing the use of 2014 Edition and/or 2015 Certified Electronic Health Record Technology (CEHRT) in Year 2 for the Advancing Care Information performance category, and giving a bonus for using only 2015 CEHRT.
  • Awarding up to 5 bonus points on the MIPS final score for treatment of complex patients.
  • Automatically weighting the Quality, Advancing Care Information, and Improvement Activities performance categories at 0% of the MIPS final score for clinicians impacted by Hurricanes Irma, Harvey and Maria and other natural disasters.
  • Adding 5 bonus points to the MIPS final scores of small practices.
  • Adding Virtual Groups as a participation option for MIPS.
  • Issuing an interim final rule with comment for extreme and uncontrollable circumstances where clinicians can be automatically exempt from these categories in the transition year without submitting a hardship exception application (note that Cost has 0% weight in the transition year) if they have been affected by Hurricanes Harvey, Irma, and Maria, which occurred during the 2017 MIPS performance period.
  • Decreasing the number of doctors and clinicians required to participate as a way to provide further flexibility by excluding individual MIPS eligible clinicians or groups with <$90,000 in part B allowed charges or <200 Medicare Part B beneficiaries.
  • Providing more detail on how eligible clinicians participating in selected APMs (known as MIPS APMs) will be assessed under the APM scoring standard.
  • Creating additional flexibilities and pathways to allow clinicians to be successful under the All Payer Combination Option. This option will be available beginning in performance year 2019.
  • Weighting the MIPS Cost performance category to 10% of your total MIPS final score, and the Quality performance category to 50%.
  • Raising the MIPS performance threshold to 15 points in Year 2 (from 3 points in the transition year).

CMS will continue to provide free hands-on support to help individual clinicians and groups participate in the QPP.

For More Information

For more information about the QPP visit:
Come See Us!
December 11-13, 2017
Georgia Rural Health Association RHC Conference, Savannah DeSoto Hotel, Savannah, GA, MORE INFO
Contact Information

Susan Moore
Director, Strategic Programs and Initiatives
Health e Paradigm is a private health information network endorsed by the Medical Association of Georgia (MAG). Health e Paradigm offers a suite of health information technology tools to help health professionals across the state of Georgia CONNECT. ANALYZE. TRANSFORM. the health care industry.