NCMS Morning Rounds 8-1-19

Your first NCMS Morning Rounds of the month!

Aug. 1, 2019

Working Together for a DiabetesFree NC

Did you know that one out of three people have prediabetes — blood glucose or hemoglobin A1C levels higher than normal but not high enough to be diagnosed as type 2 diabetes? The NCMS Foundation through Our Community Health Initiative (OCHI), the NC Department of Health and Human Services (NCDHHS) and the AMA are all working to provide you the resources you need to:

Learn more about DiabetesFreeNC.

Proposed 2020 Medicare Fee Schedule and Policies Released

Earlier this week the Centers for Medicare and Medicaid Services (CMS) released its proposed policies for the 2020 Quality Payment Program via the Medicare Physician Fee Schedule (PFS). Read CMS’ press release on the proposal.

CMS says the proposed changes will allow more streamlined and cohesive reporting in the Merit-based Incentive Payment System (MIPS); enhanced and timely feedback loops and pathways of integrated measures that are meaningful to all clinicians and to patients. The new MIPS Value Pathways (MVPs) will encourage transition to Advanced Alternative Payment Models (APMs), according to CMS.

CMS is seeking comments on how MIPS can be further transformed to reduce burden, increase value, and by focusing participation around specific measures/activities or public health priorities that are more meaningful to clinician’s practices and specialties. Learn more about the proposal. Here is the link to the proposed rule on the Federal Register. It will be officially published on Aug. 14.

Comments will be accepted until Sept. 27, 2019. You may submit comments electronically through (reference file code CMS-1715-P). Learn more about the Quality Payment Program.

Seligson Addresses Physician Well-Being

NCMS CEO Robert W. Seligson, MBA, MA addressed the Coalition for Physician Well-Being conference this week in Chicago. His presentation titled, ‘Attend to Your Well-being: Physicians Leading for Positive Change,’ outlined the policy and regulatory burdens physicians are grappling with including integrating electronic health records; addressing patients’ social determinants of health; navigating practice consolidation and a culture that doesn’t support physician well-being.

Seligson addressed each of these issues, speaking about progress made including The Physicians Foundation’s ‘Interoperability Fund,’ which helps practices connect to health information exchanges, and the NCMS’ participation in the Practice Transformation Initiative, which seeks to return autonomy to physicians and improve the practice environment. Notably, each of the solutions he discussed are physician initiated and led. Physicians are most able to present viable solutions to best serve their patients and create an environment conducive to physician well-being.

In the News

Here are NC’s Best Hospitals – and One That Dropped off the Honor Roll, Raleigh News & Observer, 7-30-19

Learning Opportunity

The latest Business of Healthcare video series offers a discussion on ‘Rethinking Quality Measures.’ Hospital Compare, HEDIS and ACO quality measures are starting to impact physician and health system income – up to an estimated 20 percent for physicians by 2022. Watch as two health system executives discuss what this means for health systems and independent physician practices. The video is about 36 minutes long.



More Posts in Medicaid/Medicare


Share this Post