Published: October 5, 2016

BOARD OF GOVERNORSBe an advocate for change

The joy of patient care is hopefully something that you experience on a regular basis. As practitioners, it is easy to get caught up in the alphabet soup—MIPS, MACRA, ACA, EHR. But, the real reason that most of us chose this path is the patients.


ishmanStacey L. Ishman, MD, MPH, Chair, Board of Governors

The joy of patient care is hopefully something that you experience on a regular basis. As practitioners, it is easy to get caught up in the alphabet soup—MIPS, MACRA, ACA, EHR. But, the real reason that most of us chose this path is the patients.

At the Board of Governors (BOG)  meeting last month in San Diego, we  focused on the importance of local specialty societies for education, fellowship, and  professional development through the  counsel of our colleagues and friends.  We also highlighted the socioeconomic  issues that are impacting our practices  and our patients—issues such as balloon sinuplasty payment and the request for  preauthorization for office flexible  laryngoscopy. And, we addressed the alphabet soup and the mandate for improved quality and value—tenets for which we would all like to strive.

We need your input

At the same time, we have all waited with  anticipation to see how the launch and actuation of RegentSM will help us to meet the federal quality reporting requirements. More importantly, we will have the data to prove the positive outcomes that we see in our patients when insurance companies come to us with denials. We will have benchmarks to help us attain and improve the quality of our care.

The BOG is your grassroots voice to provide input regarding the issues and clinical questions that you need answered the most. Please let us know what issues you find most important for your practice or what clinical questions you think need to be answered in order for you to provide the best care for your patients.

Society engagement

At the same time, we want to ensure that everyone has the tools to maximize  connections and advocacy at the local  and regional society level. Toward that end, we are pulling together leaders  from these societies to help us create an online toolbox for member societies. Our  intent is to provide you the tools to benchmark against vibrant local societies and improve attendance and value for your members, whether you meet in person or as virtual societies.

Please let us know if we can help your society and if you are interested in helping us maximize these resources.

AAO-HNS/F 2017 Leadership Forum & BOG Spring Meeting, March 10-13

We also invite you to join us in Alexandria, VA, for the upcoming Leadership Forum, where we will continue to discuss the aforementioned issues along with ways to hone your advocacy and leadership skills. At the same time, there are ample opportunities to network with the leadership of our Academy and ask questions directly to the candidates for Academy President at the BOG-sponsored Candidates Forum. Other highlights will include the always popular ENT PAC Reception (open to ENT PAC Leadership Club members) and free CME credits. Online registration will open this winter, so mark your calendars now.

I hope to see you there!

 


More from October 2016 - Vol. 35, No. 9

MIPS_PieChart
FACT SHEETSPost-SGR Payment Policy: MIPS
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) was signed into law April 16, 2015. MACRA replaced the Sustainable Growth Rate (SGR) and created the Merit-based Incentive Payment System (MIPS) and the Alternative Payment Model (APM) program. Under MIPS, eligible clinicians (ECs) will report on four categories that will add up to a composite performance score. The composite performance score will be used by CMS to determine whether or not an EC will receive a bonus pay­ment or will be subject to a payment reduction. CY 2019 payment adjustments will be based on CY 2017 reporting. ADVANCING CARE INFORMATION (ACI) 25% of the total score in 2019 Replaces the Medicare Electronic Health Record (EHR) Incentive Pro­gram for clinicians. In the future, Academy Members participating in Regent℠ will be able to report ACI through Regent. RESOURCE USE 10% of the total score in 2019 Replaces the cost component of the Value-Based Payment Modifier (VM) Program. The score is based on Medicare claims, meaning no direct reporting requirements for clinicians. QUALITY 50% of the total score in 2019 Replaces the Physician Quality Reporting System and the quality component of VM. Physicians select 6 measures to report (including 1 outcome/high priority measure, and 1 cross-cutting measure). CLINICAL PRACTICE IMPROVEMENT ACTIVITIES (CPIA) 15% of the total score in 2019 Clinicians select from a list of over 90 ac­tivities to receive credit for this category. Can report for CPIA through a qualified registry, an EHR system, a QCDR such as Regent℠, or the CMS web interface and attestation data submission. We have established Regent℠, a qualified clinical data registry (QCDR), which will: Help Members navigate evolving payment models and quality programs Focus on longitudinal perspective of clinical care Inform healthcare at a national level through clinical research Assist with satisfying Maintenance of Certification needs for Members House measures across all specialties of otolaryngology-head and neck surgery To learn more visit, www.entnet.org/content/alternative-payment-models. Download a pdf of “Post-SGR Payment Policy: MIPS.”