There’s more good news for our practices in the 2018 Medicare Access and CHIP Reauthorization Act (MACRA) final rule.
The Patient-Centered Medical Home (PCMH) and Patient-Centered Specialty Practice (PCSP) programs are widely accepted by stakeholders, payers and the government. Now, we can add our Patient-Centered Connected Care program to the list of programs gaining attention and acceptance for their value in organizing care.
The Connected Care program brings urgent care, retail and other stand-alone clinics into the medical neighborhood. It emphasizes clinical integration and communication between sites delivering intermittent or outpatient treatment (like an urgent care clinic) and a patient’s primary care provider.
Now, our Connected Care program is recognized as a “medium” activity category for the Improvement Activities section of the Merit-Based Incentive Payment System (MIPS).
The “medium” weight provides 25% of the Improvement Activities score (50% if it’s a small, rural or HPSA practice).
This means NCQA-recognized Connected Care practices are a step ahead of the game.
That’s Not All, Folks…
The 2018 final rule awarded auto-credit for Connected Care practices in a second category: Advancing Care Information (ACI). Connected Care practices get an automatic 25% towards their ACI score by getting credits for 3 ACI measures:
- Provide Patient Access
- Patient-Specific Education
- Patient-Generated Data
Practices can earn up to 10 points each toward their total ACI score.
Questions about this new auto-credit? Comment below!
For more information on our Connected Care program, you can visit our site.
Want More on MACRA?
Still confused about MACRA? Check out our MACRA Toolkit at macratoolkit.com.
Amy Maciejowski is a Program Manager for State Affairs at NCQA. She supports NCQA’s work with state legislators and regulators. Amy holds a master’s degree in Political Communications from American University.