Payment Change Gets Real

Dr Thorwarth_20140414_008

William T. Thorwarth, MD ACR Chief Executive Officer

This post contributed by ACR Chief Executive Officer William T. Thorwarth, MD, FACR.

The Centers for Medicare & Medicaid Services (CMS) has released the Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs) proposed rule. 

HHS calls this the first step to “modernize” physician payment. What this means for radiology (and all of medicine) is things are starting to get real.

The migration from volume- to value-based care is underway. Radiologists need to act now to learn to demonstrate value in new delivery and payment systems.

The good news is, through the Imaging 3.0 initiative, the ACR has tools in place to help you get started (and more on the way). Below are just a few:Time is Action_254x190

  • The JACR Imaging Value Chain Series highlights opportunities at each step in the delivery of radiology services for radiologists to best provide value to their patients.
  • The Most Valuable Radiology Practice, developed with RBMA, is a graphically presented action plan to assess value-based care readiness along with the linked tools to achieve success.
  • The Radiology Support, Communication and Alignment Network (R-SCAN) empowers radiologists to work with referring physicians to demonstrably improve appropriateness of imaging utilization.

The College, through the new Medicare Access and CHIP Reauthorization Act (MACRA) Committee and the existing Quality Management and Metrics Committees, is continuing to work to create and define quality metrics for radiology to be used in MIPS and APMs. The ACR created a Commission on Patient- and Family-Centered Care to support awareness of the importance of patient engagement and its increasing role in both facility and physician payment.

The ACR National Radiology Data Registry (NRDR®) has, once again, been named a Qualified Clinical Data Registry (QCDR) enabling reporting to CMS on behalf of participants and satisfying quality metrics. The QCDR will be instrumental in supporting members’ ability to submit data for MIPS requirements successfully.

The tools are here — now — to help our members understand and learn to participate in emerging APMs. Please — let us empower you.

Please share in the comments section below what your practice is doing to prepare for the changes underway.


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