Friday, August 24, 2012
On August 23, 2012, the Centers for Medicare & Medicaid Services (CMS) published the final rule for Stage 2 of the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. The rule provides new criteria that eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) must meet in order to successfully participate in the EHR Incentive Programs.
CMS recently updated the EHR Incentive Programs website with a new Stage 2 section, which provides helpful information on the Stage 2 final rule and how it affects the EHR Incentive Programs. The Stage 2 page includes an overview of the final rule and links to Stage 2 resources:
Stage 2 Overview Tipsheet – Provides an overview of the rule, including important dates, basic requirements, new audiences, and additional Stage 2 resources
Stage 1 vs. Stage 2 Comparison Tables – Compares basic requirements of Stage 1 versus Stage 2 for both EPs and eligible hospitals
Stage 1 Changes Tipsheet – Outlines major changes to Stage 1 included in the rule
Payment Adjustments & Hardship Exceptions Tipsheets – Details the schedule and percentages of the payment adjustments, as well as information about hardship exemptions for both EPs and eligible hospitals
2014 Clinical Quality Measures Tipsheet – An overview of the 2014 CQM requirements that will apply to all providers, regardless of their stage of meaningful use
CMS will continue to provide resources for providers on Stage 2 rule and the EHR Incentive Programs. Visit the Stage 2 page to view upcoming webinars and sessions discussing Stage 2 and the different changes occurring.
Want more information about the EHR Incentive Programs?
Make sure to visit the EHR Incentive Programs website for the latest news and updates on the EHR Incentive Programs.
Tuesday, August 14, 2012
The Centers for Medicare & Medicaid Services (CMS) and the Professional Association of Health Care Office Management (PAHCOM) are holding a free and open webinar on the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs on August 14, 2012, from 1:30 – 3:00 pm ET.
Description:
The webinar, CMS Presents: Medicare and Medicaid EHR Incentive Programs - Stage 1 Meaningful Use, Deep Dive, will provide an overview of how the Medicare and Medicaid EHR Incentive Programs are structured and administered, and will provide key insights for providers regarding Stage 1 of meaningful use.
Presenter:
Robert Anthony, a Health Specialist in the Office of E-Health Standards and Services at CMS, will present on details about Stage 1 requirements. He contributes to policy development and implementation of the Medicare and Medicaid EHR Incentive Programs.
To Register:
Interested individuals can register online.
Want more information about the EHR Incentive Programs?
Make sure to visit the EHR Incentive Programs website for the latest news and updates on the EHR Incentive Programs.
Monday, August 06, 2012
Connections improve communications which improves efficiency and patient safety. SV
$16.9M approved by Obama Administration to support health care information highway, paving the way for integrated care and cost containment
BOSTON -- The Patrick-Murray Administration today announced that Massachusetts is moving forward with its statewide Health Information Exchange, which will create a health care information highway, paving the way forward for integrated care and cost containment efforts. The Obama Administration approved $16.9 million for the project, which will allow providers, hospitals and others involved in patient care to exchange clinical data via a secure statewide network.
Thursday, July 05, 2012
I am posting an email request from Ronda Kotelchuck, CEO, Primary Care Development Corporation. She and her organization have many great accomplishments. Please consider contributing to the advancement to PCMH in NYS. SV
Dear Colleague,
I am writing to you because I know you have a strong belief in the power of primary care, particularly as it is organized in a "Patient Centered Medical Home" model, to improve health outcomes and reduce health care costs.
We now have a singularly important opportunity to invest in primary care and the medical home model through a $10 billion “MRT (Medicaid Redesign Team) Waiver” that New York State is pursuing. We are very encouraged that the MRT Waiver framework includes initiatives to expand primary care, health homes, and the medical home model. But we need your help to ensure that sufficient funding in the final waiver is dedicated to these important priorities. We are now in a very short public comment period (ending around July 15).
If you want to make sure New York invests in an integrated care environment with a sufficient patient-centered primary care at its core, please let the Department of Health know. You can email the “Waiver Team” through this website (we can then track correspondence). Please tell DOH what you think is needed to expand the medical home model. We have some suggestions on the website www.nyprimarcarehome.org, but feel free to make your own recommendations too.
If you have any questions, please contact me or Dan Lowenstein, PCDC Director of Public Affairs, at dlowenstein@pcdc.org, 212-437-3942.
Sincerely,
Ronda
Ronda Kotelchuck, CEO
Primary Care Development Corporation
Ronda Kotelchuck
Chief Executive Officer
Primary Care Development Corporation
22 Cortlandt Street, 12th Floor
New York, NY 10007
P: (212) 437-3917
F: (212) 693-1860
E: rkotelchuck@pcdc.org
W: www.pcdc.org
Sunday, February 19, 2012
On November 7th, the Medicaid Electronic Health Record (EHR) Incentive Program launched in Arkansas, Delaware, Montana, New Jersey, New York, North Dakota. This means that eligible professionals (EPs) and eligible hospitals in these six states will be able to complete their incentive program registration. More information about the Medicaid EHR Incentive Program can be found on the Medicare and Medicaid EHR Incentive Program Basics page of the CMS EHR website.
If you are a resident of Arkansas, Delaware, Montana, New Jersey, New York, North Dakota, and are eligible to participate in the Medicaid EHR Incentive Program, visit your State Medicaid Agency website for more information on your state's participation in the Medicaid EHR Incentive Program. Click on a State below to access its website.
Arkansas
Delaware
Montana
New Jersey
New York
North Dakota
As of November 7th, 39 states have launched Medicaid EHR Incentive Programs and through October, 23 states have issued incentive payments to Medicaid EPs and eligible hospitals who have adopted, implemented, or upgraded certified EHR technology. CMS looks forward to announcing the launches of additional states' programs in the coming months.
For a complete list of states that have already begun participation in the Medicaid EHR Incentive Program, see the Medicaid State Information page on the CMS EHR website.
Friday, February 10, 2012
Like a train, it may have been slow to start; but now it is gaining momentum.
This is the last year to get the full Medicare Incentive Payment, so call your local RECs and AMA to get help with choosing, implementing and using EHRs. SV
January 3rd Marked the One Year Milestone for the Medicare and Medicaid EHR Incentive Programs
January 3rd was the one year anniversary of the start of registration for the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. Over the past year, there has been a tremendous amount of interest in the incentive programs as providers across the country have implemented EHRs. Year one highlights include:
43 states have started their Medicaid EHR Incentive Programs
Over 176,000 people have registered for the Medicare and/or Medicaid EHR Incentive Programs
Over $2.5 billion has been paid in incentive payments to eligible professionals (EPs) and eligible hospitals and critical access hospitals (CAHs) across the country
RECs List
AMA
Tuesday, February 07, 2012
February 29, 2012 is the last day for eligible professionals to register and attest to receive an Incentive Payment for calendar year (CY) 2011.
The Medicare EHR Incentive Program will provide incentive payments to eligible professionals, eligible hospitals, and CAHs that demonstrate meaningful use of certified EHR technology.
Participation began in 2011.
Eligible professionals can receive up to $44,000 over five years under the Medicare EHR Incentive Program. There's an additional incentive for eligible professionals who provide services in a Health Professional Shortage Area (HSPA).
To receive full Medicare benefits, you will need to be using your EHR in a meaningful manner by October 1, 2012.
Important! For 2015 and later, Medicare eligible professionals, eligible hospitals, and CAHs that do not successfully demonstrate meaningful use will have a payment adjustment in their Medicare reimbursement.
Please contact your State Medical Societies, Specialty Medical Societies, the AMA and your local Regional Extension Centers for details.
AMA
Regional Extension List
Monday, November 28, 2011
Information about the program can be found at www.emedny.org
The NY Medicaid EHR Incentive Program Support Team can be reached at hit@health.state.ny.us, or 800-278-3960. The MEIPASS HelpDesk can be reached at 877-646-5410.
Wednesday, September 28, 2011
Contact your health plans now!
Ask them to get involved.
Now is the time to change the payment paradigm from acute care to chronic/patient centered care. SV
The Comprehensive Primary Care (CPC) initiative is a new CMS-led, multi-payer initiative fostering collaboration between public and private health care payers to strengthen primary care for all Americans. Primary care is critical to promoting health, improving care, and reducing overall system costs, but it has been historically under-funded and under-valued in the United States. Without a significant enough investment across multiple payers, independent health plans-- covering only their own members and offering support only for their segment of the total practice population-- cannot provide enough resources to transform entire primary care practices and make expanded services available to all patients served by those practices. The CPC initiative offers a way to break through this historical impasse by inviting payers to join with Medicare in investing in primary care in 5-7 selected localities across the country.
The CPC initiative will test two models simultaneously: a service delivery model and a payment model. The service delivery model will test comprehensive primary care, which is characterized as having the following five functions:
Risk-stratified Care Management;
Access and Continuity;
Planned Care for Chronic Conditions and Preventative Care;
Patient and Caregiver Engagement;
Coordination of Care Across the Medical Neighborhood.
The payment model includes a monthly care management fee paid to the selected primary care practices on behalf of their fee-for-service Medicare beneficiaries and, in years 2-4 of the initiative, the potential to share in any savings to the Medicare program. Practices will also receive compensation from other payers participating in the initiative, including private insurance companies and other health plans, which will allow them to integrate multi-payer funding streams to strengthen their capacity to implement practice-wide quality improvement.
The Innovation Center is now accepting letters of intent from public and private health care payers for the Comprehensive Primary Care initiative.
The first step is for public and private payers (including states) to indicate their interest to CMS, including the level and type of support for primary care practices being offered. Interested payers must submit a nonbinding letter of intent and a completed Geographic Service Area Worksheet by November 15, 2011 via email to CPCi@cms.hhs.gov. Applications from payers that do not submit a timely letter of intent will not be considered.
Final applications, to be completed only after the letter of intent has been submitted, must be received on or before January 17, 2012. Once CMS evaluates these proposals and selects the markets, a second solicitation will be issued for primary care practices in those markets.
Monday, April 04, 2011
Here is a great set of step by step instructions, screen shots and video. SV
Attestation for the Medicare Electronic Health Record (EHR) Incentive Program begins on Monday, April 18, 2011. In order to receive your Medicare EHR incentive payment, you must attest through CMS's web-based Medicare and Medicaid EHR Incentive Programs Registration and Attestation System.
Today, you can preview selected screenshots of the Attestation System to help you understand what the attestation process will involve. Please note that these screenshots are only examples – the final appearance and language may incorporate additional changes. CMS will release additional information about the Medicare attestation process soon, including User Guides that provide step-by-step instructions for completing attestation and educational webinars that describe the attestation process in depth.
Registration and Attestation instructional video link
More information to help you prepare for Medicare attestation: You need to understand the required meaningful use criteria to successfully attest. Meaningful use requirements for eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) participating in the Medicare EHR Incentive Program are different:
EP Meaningful Use Criteria – Must report on 15 core measures, 5 of 10 menu measures, and 6 clinical quality measures, consisting of 3 required core measures and 3 additional measures.
Visit the Stage 1 EHR Meaningful Use Specification Sheets for EPs for information on core and menu measures for EPs.
Visit the Clinical Quality Measures page for information on the required clinical quality measures for EPs.
Eligible Hospital and CAH Meaningful Use Criteria – Must report on 14 core measures, 5 of 10 menu measures, and 15 clinical quality measures.
Visit the Stage 1 EHR Meaningful Use Specification Sheets for Eligible Hospitals and CAHs for information on core and menu measures for eligible hospitals and CAHs.
Visit the Clinical Quality Measures page for information on the required clinical quality measures for eligible hospitals and CAHs.
You should also make sure that you begin your 90-day reporting period in time to attest and receive a Medicare payment in 2011. The last days to begin 90-day reporting periods for 2011 incentive payments are:
Sunday, July 3, 2011, for eligible hospitals and CAHs; and
Saturday, October 1, 2011, for EPs.
Under the Medicaid EHR Incentive Programs, the date when participants can begin attestation for adopting, implementing, upgrading, or demonstrating meaningful use of certified EHR technology varies by state. Visit the Medicaid State EHR Incentive Program web-tool for more information about your state's participation in the Medicaid EHR Incentive Program.
Saturday, April 02, 2011
Here are the guidelines in case you missed them when first released. SV
Thursday, January 06, 2011
Registration opened on Mon Jan 3 for the Medicare and Medicaid EHR Incentive Programs, and Medicaid payments have already been issued by two states!
On Wed Jan 5, the first payments under the Medicaid EHR Incentive Program were issued by Oklahoma and Kentucky. Kentucky processed payment to the University of Kentucky’s teaching hospital, University of Kentucky Healthcare. The first payment, for $2.86-million, was one-third of the hospital’s overall expected amount for participating in the program.
Oklahoma issued payments to two physicians at the Gastorf Family Clinic of Durant for $21,250 each, for having adopted certified EHRs. These incentive payments for the adoption of certified EHR technology are federally-funded under the Health Information Technology for Economic and Clinical Health (HITECH) Act provisions of the American Recovery and Reinvestment Act of 2009.
For additional information on the these actions by Oklahoma and Kentucky, please visit their websites at http://www.okhca.org/EHR-incentive and http://chfs.ky.gov/dms/EHR.htm. For more information on the Medicare and Medicaid Electronic Health Records Incentive Programs, please visit CMS’s EHR website at http://www.cms.gov/EHRIncentivePrograms.
Tuesday, December 28, 2010
CMS, ONC Outline Resources to Assist Eligible Providers
Today the Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) announced the availability of registration for the Medicare and Medicaid electronic health record (EHR) incentive programs. CMS and ONC encouraged broad participation and outlined online and in-person resources that are in place to assist eligible professionals and eligible hospitals who wish to participate.
Beginning Jan. 3, 2011, registration will be available for eligible health care professionals and eligible hospitals who wish to participate in the Medicare EHR incentive program. On January 3, registration in the Medicaid EHR Incentive Program will also be available in Alaska, Iowa, Kentucky, Louisiana, Oklahoma, Michigan, Mississippi, North Carolina, South Carolina, Tennessee, and Texas. In February, registration will open in California, Missouri, and North Dakota. Other states likely will launch their Medicaid EHR Incentive Programs during the spring and summer of 2011.
“It’s time to get connected,” said David Blumenthal, MD, MPP, National Coordinator for Health Information Technology. “ONC and CMS have worked together over many months to prepare for the startup on January 3rd. ONC’s Certified HIT Product List includes more than 130 certified EHR systems or modules and is updated frequently. ONC also has hands-on assistance available across the country through 62 Regional Extension Centers
We look forward to continuing to work with CMS to assist eligible providers in 2011 and future years.”
Eligible professionals and eligible hospitals must register in order to participate in the Medicare and Medicaid EHR incentive programs. They can do so, starting Jan. 3, 2011, at a registration site maintained by CMS.
To prepare for registration, interested providers should first familiarize themselves with the incentive programs’ requirements by visiting CMS’ Official Web Site for the Medicare and Medicaid EHR Incentive Programs. The site provides general and detailed information on the programs, including tabs on the path to payment, eligibility, meaningful use, certified EHR technology, and frequently asked questions.
For more information please read CMS press release issued today (12/22): https://www.cms.gov/apps/media/press/release.asp?Counter=3887&intNumPerPage=10&checkDate=&checkKey=&srchType=1&numDays=3500&srchOpt=0&srchData=&keywordType=All&chkNewsType=1%2C+2%2C+3%2C+4%2C+5&intPage=&showAll=&pYear=&year=&desc=&cboOrder=date
Sunday, August 01, 2010
Since the evidence requires consecutive 90 days of data, you would need to be ready by February 2011. If you have an EHR, call your vendor now to get them to update their systems. If you do not have an EHR, call your local Regional Extensions Centers and get in the queue. SV
CMS
Thursday, July 29, 2010
The Centers for Medicare & Medicaid Services (CMS) invites you to join us for a series of national provider calls addressing the specifics of the Medicare and Medicaid EHR incentive programs for hospitals and individual practitioners. Learn the specifics on what you need to participate in the these incentive programs –
· who is eligible,
· how much are the incentives and how are they calculated,
· what you need to do to get started,
· when the program begins and other major milestones regarding participation and payment,
· how to report on Meaningful Use measures
· where to find helpful resources and more.
Hear from the experts who wrote the rules! Ask your questions!
EHR Incentive Programs for Eligible Professionals:
A session just for individual practitioners on the specifics about the Medicare & Medicaid EHR incentive program
Tuesday, August 10, 2010
2:00-3:30 pm EST
EHR Incentive Programs for Hospitals:
A session just for hospitals on the specifics about the Medicare & Medicaid EHR incentive program
Wednesday, August 11, 2010
2:00-3:30 pm EST
EHR Questions and Answers for Hospitals and Individual Practitioners:
Have questions? Join this session to have an opportunity to ask a question and hear answers by our panel of experts on the Medicare and Medicaid EHR incentive programs.
Thursday, August 12, 2010
2:00-3:30 pm EST
Save the dates! Information on how to register for these calls is forthcoming.
Materials will be made available prior to each training at the following web address: http://www.cms.gov/EHRIncentivePrograms/05_Spotlight_and_Upcoming_Events.asp
Cannot attend? A transcript and MP3 file of the call will be available approximately 3 weeks after the call at http://www.cms.gov/EHRIncentivePrograms/05_Spotlight_and_Upcoming_Events.asp on the CMS website.
Be sure to visit CMS’ web section on the Medicare & Medicaid EHR Incentive Programs at: http://www.cms.gov/EHRIncentivePrograms/ to get the latest information. Visit often!
Monday, January 04, 2010
Chapter 58 of the Laws of 2009 authorized the New York State Department of Health (NYSDOH) to implement an initiative to incentivize the development of patient-centered medical homes to improve health outcomes through better coordination and integration of patient care for persons enrolled in New York Medicaid.
New York Medicaid has chosen to adopt medical home standards that are consistent with those of the National Committee for Quality Assurance's (NCQA) Physician Practice Connections® - Patient-Centered Medical Home Program (PPC-PCMH™). The PPC-PCMH™ is a model of care that seeks to strengthen the physician-patient relationship by promoting improved access, coordinated care, and enhanced patient/family engagement.
A medical home also emphasizes enhanced care through open scheduling, expanded hours, and communication between patients, providers and staff. Care is also facilitated by registries, information technology, health information exchange and other means to ensure that patients obtain the proper care in a culturally and linguistically appropriate manner.
The NCQA PPC®-PCMH™ program assesses whether practices are functioning as medical homes. Building on the joint principles developed by the primary care specialty societies, the PPC®-PCMH™ standards emphasize the use of systematic, patient-centered, coordinated care management processes.
http://www.health.state.ny.us/health_care/medicaid/program/update/2009/2009-12spec.htm
Questions/Information
For more information on how to achieve NCQA certification as a NCQA PPC-PCMH™, providers should contact NCQA Customer Support at (800) 839-6487, or visit the NCQA Website at http://www.ncqa.org. Since New York Medicaid is recognized as a sponsoring organization, providers will receive a 20 percent discount from NCQA toward the cost of the PPC-PCMH™ application. Questions regarding New York Medicaid's Patient-Centered Medical Home initiative may be directed to the Office of Health Insurance Program's Division of Financial Planning and Policy at (518) 473-2160.
Please contact the Bureau of Managed Care Finance at (518) 474-5050 with any questions regarding health plan medical home payments for network providers.
NYC DOH PCIP
Primary Care Development Corporation
New York eHealth Collaborative
Saturday, July 11, 2009
It is important to note that not just the percentage Medicaid patients is used to qualify but any patient who is in financial need is included. SV
WASHINGTON and NEW YORK – About 45,000 office-based physicians, including nearly all physicians who practice at federally qualified health centers (FQHCs) and half of office-based pediatricians, may be eligible for up to $63,750 over six years to improve and maintain their health information technology (HIT) systems because of their participation in Medicaid, according to a new analysis by GW researchers funded through the Geiger Gibson/RCHN Community Health Foundation Research Collaborative.
Beginning in 2011, office-based physicians whose patient mix includes at least 30 percent Medicaid beneficiaries are eligible for up to $63,750 over six years, as long as they are able to demonstrate “meaningful use” of HIT. A lower 20 percent threshold can be used in the case of pediatricians. Physicians who predominantly practice at FQHCs and other settings can qualify if 30 percent of their patient base is characterized as “needy,” including those covered by Medicaid, those who receive uncompensated care and patients who are charged income-related sliding scale fees. GW researchers estimate about 15 percent of all the office-based physicians in the nation would qualify for the Medicaid HIT incentives, including nearly 99 percent of FQHC physicians. If all qualifying physicians apply for the Medicaid incentives and receive the maximum level of payments, the federal government would invest more than $2.8 billion in HIT.
Geiger Gibson/RCHN report
Friday, November 09, 2007
I wonder which company will get the contract. SV
A two-year $5.5 million federal grant aims to help Oregon create a secure online database of health records for the states 400,000 plus Medicaid beneficiaries.
Portland Tribune