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Independent physicians can have the largest impact on the size and cost equation in Central PA Healthcare. Read Dr. Jaan Sidorov's guest editorial.

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Cost is back, a year earlier than was proposed

  • For the 2018 performance year, the quality performance category will be weighted at 50% of the Final Score and cost will be weighted at 10%.
  • The cost performance category for 2018 will include “Total per capita costs for all attributed beneficiaries” and “Medicare Spending per Beneficiary.” No episode measures will contribute to 2018 performance year cost scoring.

Quality performance category got a little harder

  • Data completeness criteria advances from a minimum of 50% of patients eligible for each measure to 60%. This percentage is expected to be applicable for both 2018 and 2019 performance years and a full year of data must be reported. Ninety days for quality is no longer considered complete.
  • For larger practices, measures not meeting the data completeness criteria or case minimum earn just one point instead of three.

Reporting the Advancing Care Information performance category got a little easier

  • There are exclusions retroactive to 2017 for the e-prescribing and HIE-related measures.
  • There are new exemptions from ACI for small practices.
  • 2015 CEHRT is not required but if you use it, you will earn bonus points for ACI.
  • The measures remain the same with some minor differences and clarifications for several.
  • Minor changes to the Improvement Activities performance category were implemented
  • More activities added but number of activities required and scoring remains the same.

Overall, notable highlight from the Final Rule also include:

  • The bar got a little higher for avoiding penalty. It now requires 15 points instead of just 3.
  • The exceptional performance bonus threshold remains at 70 points.
  • There is a new retroactive Automatic Extreme and Uncontrollable Circumstance Policy applicable for natural disasters. It will be retroactively applied to practices affected by hurricanes Harvey, Irma, and Maria in 2017 and any disasters yet to come in 2017 and years following. It will be applied automatically to practices Medicare identifies as being in the affected areas.
  • Practices treating complex patients can earn a potential five points toward the Final score.
  • There are new bonuses applicable to improvements in cost and quality performance scores. Cost performance improvement will be calculated at the measure level.
  • Quality performance improvement will be calculated at the level of the combined quality performance score.



Joining a clinically integrated network (CIN) enables private practices to benefit from collaboration with a large group without giving up their independence. But our CIN—the PA Clinical Network—goes further, adding the power of:

  • A robust population health platform, integrated with every payer and EMR, to deliver real-time, actionable care insights,
    achieve quality outcomes, and demonstrate shared savings
  • Strong technology infrastructure and hands-on support to facilitate collaboration while lightening the load of toda y’s administrative complexities
  • Complete transparency on decisions affecting your value-based compensation, with governance by independent physicians like you who won’t be overruled by large institutional interests
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