MRO Viewpoints

Value-based care (VBC) is not new. The concept began in the 1980s with the introduction of managed care and capitation models, where providers were paid a set amount per patient rather than per service. However, it gained significant traction in the early 2000s and...

In the rapidly evolving landscape of healthcare, staying ahead of regulatory changes and quality reporting requirements is crucial for both Accountable Care Organizations (ACOs) and clinicians participating in the Quality Payment Program (QPP). The Centers for...

In the dynamic landscape of healthcare, where quality care and cost-effectiveness are paramount, initiatives like the Medicare Shared Savings Program (MSSP) play a pivotal role. As healthcare providers strive to deliver better outcomes while managing costs,...

As the healthcare landscape continues to evolve, so do the challenges and opportunities presented by CMS’ Quality Payment Program (QPP). Since its inception in 2017, QPP has become increasingly complex, making it harder for providers to avoid penalties and maximize...

Forward-thinking payer and provider organizations continually seek new ways to foster collaboration and improve relationships despite tumultuous exchanges between the two parties. Better communication helps both stakeholders reduce administrative costs and improve...

Navigating the Shift: Transitioning from CMS Web Interface to APP As the 2024 performance year ends, MSSP ACOs (Medicare Shared Savings Program Accountable Care Organizations) are bracing for new reporting obligations under the Quality Payment Program (QPP). The...

EHR Connection vs. QRDA-1: How to Pick the Best Reporting Path In the realm of healthcare quality reporting, the method of data exchange plays a critical role in the accuracy, efficiency, and cost-effectiveness of the process. That’s why providers need to understand...

In today’s healthcare ecosystem, data plays a pivotal role in influencing patient outcomes. For many health plans, navigating the complexities of interoperability and seamless data exchange remains a challenge. However, the ability to successfully navigate and...

Data has always been at the forefront of healthcare, and the technology facilitating data exchange among healthcare stakeholders continues to evolve. With the surge in data demand, growing volumes of data, new exchange technologies, and the escalating risks of data...