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Learn about reimbursable care management services from the Centers for Medicare & Medicaid Services.
The Centers for Medicare & Medicaid Services (CMS) has implemented multiple flexibilities for the Quality Payment Program (QPP) in response to the COVID-19 pandemic public health emergency (PHE). For the 2022 performance year CMS will continue to use the Extreme and Uncontrollable Circumstances policy to allow clinicians, groups, and virtual groups to submit an application requesting reweighting of one or more Merit-based Incentive Payment System (MIPS) performance categories due to the COVID-19 public health emergency.
A new, voluntary Medicare payment model option focused on cancer care opens the value-based care door wider for specialists at a time when such models have been limited.
The Enhancing Oncology Model – which will begin on July 1, 2023, and last for five years – also aligns with the Biden administration’s Cancer Moonshot initiative, which aims to halve the cancer death rate in the U.S. over the next 25 years.
Facing the loss of crucial uncompensated care funding, the Texas Medical Association is helping the state craft a request to the Biden administration to reinstate an extension on Texas’ Medicaid 1115 Transformation Waiver.
The Patient Centered Medical Home (PCMH) is a coordinated approach to providing comprehensive care for patients.
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Got Clinical Quality and Payment questions? Call or e-mail the Knowledge Center.
Looking for resources to promote health equity? TMA’s Social Determinants of Health Resource Center provides a wealth of information for physicians seeking to learn more about social factors that drive health outcomes. The resource center includes links to educational material, screening tools, care management resources and more.
View the Resource Center
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