NCMS Morning Rounds 10-31-19


It’s only your NCMS Morning Rounds.

Oct. 31, 2019

Happy Halloween!

NCMS Staff Engage With Many Groups

A glimpse into a regular week for many NCMS staff members, especially those charged with health system innovation or advocacy, usually will reveal them meeting in person with physician, physician assistant and other stakeholder groups to learn how we can best work together to improve the health of North Carolinians.

For instance, recently:
• Several staff members attended a ‘mixer’ hosted by the NC Nurses Association in Raleigh. This type of casual social event helps open the lines of communication and establish common ground in working on issues like maternal and infant health and others.
NCMS Director, Health System Innovation Kristen Spaduzzi spoke to a small group of the Greensboro chapter of the NC Medical Group Management Association. The informal, roundtable conversation centered largely on the state’s Medicaid transformation efforts.
• Spaduzzi also spoke about the NCMS’ long-term and ongoing efforts to support ACOs and the move to value-based care at the Brunswick County Medical Society meeting. Angela Diaz, vice president for network development at Aledade, also spoke to this well-attended gathering.
NCMS Director of Legislative Relations Sue Ann Forrest, MPA, was on hand at the NC Urologic Association meeting where she updated the group on what is happening at the NC General Assembly. Topics included CON legislation, the State Health Plan, scope of practice issues and Medicaid transformation.

NCMS staff members are available to speak to your group and are interested in hearing your perspective on practicing medicine in North Carolina. Contact Elaine Ellis, or 919-833-3836 x112 to find out more about booking a speaker.

Medicaid Transformation Reminders

As the Feb. 1, 2020 go-live date for the state’s transition to Medicaid managed care nears, NC AHEC continues to provide helpful weekly reminders and summaries of information practices need to know.

This week’s tips include information on Advanced Medical Homes, a reminder of the Nov. 15 deadline for signing health plan contract(s) as well as links to register for upcoming provider training webinars.

Access this one-sheet resource.

Reminder: 2020 MIPS Virtual Group Deadline is Dec. 31

If you’re interested in forming a virtual group for the 2020 Merit-based Incentive Payment System (MIPS) performance year, you must follow the election process and submit your election to the Centers for Medicare and Medicaid Services (CMS) via e-mail by Tuesday, Dec. 31, 2019. Details about virtual groups and the election process are available in this toolkit.

A virtual group is a combination of two or more Taxpayer Identification Numbers (TINs) assigned to:
• One or more solo practitioners (who are MIPS eligible clinicians); or
• One or more groups consisting of 10 or fewer clinicians (including at least 1 MIPS eligible clinician); or
• Both (solo practitioners and groups of 10 or fewer clinicians) that elect to form a virtual group for a performance period for a year

You can contact your Quality Payment Program Technical Assistance organization for information regarding TIN size to help you determine if you meet the TIN size criteria to join or form a virtual group. If you do decide to proceed you must have a formal written agreement; name an official virtual group representative, submit the group’s election via email by the Dec. 31 deadline and determine the group size and low-volume threshold.

For questions contact the Quality Payment Program by email, or phone: 1-866-288-8292.

Clinicians in small practices (including those in rural locations), health professional shortage areas and medically underserved areas may request technical assistance from on-the-ground organizations that can provide no-cost support. To learn more about this support, or to connect with your local technical assistance organization, we encourage you to visit our Small, Underserved, and Rural Practices page on the Quality Payment Program website.

Visit Help and Support for additional information and resources.

In the News

Number of Uninsured Kids Continued to Climb in 2018, Modern Healthcare, 10-30-19

Learning Opportunity

The Institute for Healthcare Improvement’s National Forum is a four-day conference to be held Dec. 8-11 in Orlando, FL, that brings together health care visionaries, improvement professionals, world leaders and industry newcomers. Learn more and register.



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