You do understand MACRA, right? No? Well, how about MIPS vs. APMs? Really? Well, thankfully, that’s where Subsero Health steps into the picture.
In 2015, healthcare, as we’ve known it for generations, changed. The U.S. Department of Health and Human Services declared that 85 percent of Medicare payments will be linked to performance and value, not the volume of services provided. Given that about half of all Americans use some form of a government-subsidized insurance program, a vast number of reimbursements are at stake for physicians, now and in the future.
Today, many providers still don’t understand how value-based reimbursements work which means they don’t understand how they will be paid. If you are one of these physicians, things are only going to get more complicated for you because starting in 2019, Medicare reimbursements will be affected greatly by MIPS scores.
Do you know the four categories that are used to determine a MIPS score? Do you know how to create daily and long-term plans to increase the score for each category? If you don’t, you better learn in a hurry.
There is a tremendous amount of money to be made, and lost, under this complicated value-based reimbursement model, and it’s in every provider’s best interest to achieve a high MIPS score, especially for newcomers to this system who are still transitioning from the fee-for-service model.
Again, that’s where Subsero Health steps into the picture.