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June 7, 2018

ACO roundup: NPs take on greater role in primary care practices, study finds

Daily Briefing
    • The early results are in from MIPS' first-ever reporting year—and 91% of eligible clinicians participated, CMS says. About 91% of clinicians eligible to participate in MACRA's Merit-based Incentive Payment System (MIPS) submitted data in the program's first reporting year—surpassing CMS' goal of 90% participation, CMS Administrator Seema Verma announced in a blog post. Verma in the post also noted that participation rates for ACOs and rural clinicians were 98% and 94%, respectively. Verma did not share the number of clinicians who did not submit data and, as such, are likely to face a 4% cut in Medicare reimbursements in 2019.

    • NPs take on greater role in primary care practices, study finds. The use of NPs at primary care practices between 2008 and 2016 increased from 18% to 25% of providers at rural practices and from 16% to 23% of providers at non-rural practices, according to a new study in Health Affairs. According to the researchers, "states with full scope-of-practice laws had the highest NP presence, but the fastest growth occurred in states with reduced and restricted scopes of practice."

    • Azar reiterates support for proposed SNF payment rule. HHS Secretary Alex Azar in a speech Tuesday said the agency would use Medicare to shift skilled nursing facilities (SNFs) and other post-acute and long-term care services into value-based payment models. During his speech to the American Health Care Association and National Center for Assisted Living, Azar said while HHS wants "to work collaboratively and transparently" with providers on the agency's proposed rule for SNFs—which ties Medicare payments to patients' health status instead of the number of services they receive—the agency isn't "afraid of rethinking a whole model of payment if the status quo could be improved for patients."

    From Advisory Board:

    • The 2018 MIPS cost category—decoded. Join us on Thursday, August 2, at 3:00 p.m. ET, to learn the metrics included in the 2018 MIPS cost category, how providers' scores will be calculated, and strategies for improving performance.

    Register Here

    Register Here

    • How to succeed under Medicaid risk. Join us on Tuesday, August 14 at 1:00 p.m. ET for a live panel discussion with population health, health plan, and Medicaid strategy experts from within Advisory Board to learn about key considerations for taking on Medicaid risk and setting up the right infrastructure to manage the population.

    Register Here

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