Hosam Mohamed-
Medicare Access and CHIP reauthorization act of 2015
What is MACRA?
-
value-based programs
-reward healthcare providers with incentive payments for the quality of care
they give to people with Medicare.
-
ACA; MACRA
Value-programs are implemented through the _______ or _______.
-
f
Assess the quality of care provided to Medicare patients; poor care will
receive lawful penalties through withholding Medicare reimbursement.
a) Hospital Acquired Conditions (HAC)
b) Medicare Shared Savings Program (MSSP)
c) Hospital Readmissions Reduction (HRRP)
d) Merit-based incentive payment system (MIPS)
e) Bundle Payments for Care (BPCI)
f) Hospital Value-Based Purchasing Program (HVBP)
-
c
Hospitals with actual 30-day readmissions higher than expected are penalized.
a) Hospital Acquired Conditions (HAC)
b) Medicare Shared Savings Program (MSSP)
c) Hospital Readmissions Reduction (HRRP)
d) Merit-based incentive payment system (MIPS)
e) Bundle Payments for Care (BPCI)
f) Hospital Value-Based Purchasing Program (HVBP)
-
c
Used for COPD.
a) Hospital Acquired Conditions (HAC)
b) Medicare Shared Savings Program (MSSP)
c) Hospital Readmissions Reduction (HRRP)
d) Merit-based incentive payment system (MIPS)
e) Bundle Payments for Care (BPCI)
f) Hospital Value-Based Purchasing Program (HVBP)
-
a
Hospitals are penalized if they have high rates of hospital-acquired infections.
a) Hospital Acquired Conditions (HAC)
b) Medicare Shared Savings Program (MSSP)
c) Hospital Readmissions Reduction (HRRP)
d) Merit-based incentive payment system (MIPS)
e) Bundle Payments for Care (BPCI)
f) Hospital Value-Based Purchasing Program (HVBP)
-
b, d
Which Quality measures are under MACRA?
a) Hospital Acquired Conditions (HAC)
b) Medicare Shared Savings Program (MSSP)
c) Hospital Readmissions Reduction (HRRP)
d) Merit-based incentive payment system (MIPS)
e) Bundle Payments for Care (BPCI)
f) Hospital Value-Based Purchasing Program (HVBP)
-
promote ACO accountability, coordinate items/services, invest in high quality/efficient services
What does the Medicare Shared Savings Program (MSSP) do? (3)
-
Medicare Shared Savings Program (MSSP)
- a program that encourages the development of accountable care organizations.
- a group of healthcare professionals who share accountability and can share reimbursement
-
d
Which measures care provided to Medicare part B patients?
a) Hospital Acquired Conditions (HAC)
b) Medicare Shared Savings Program (MSSP)
c) Hospital Readmissions Reduction (HRRP)
d) Merit-based incentive payment system (MIPS)
e) Bundle Payments for Care (BPCI)
f) Hospital Value-Based Purchasing Program (HVBP)
-
quality, improvement activities, promoting interoperability, cost
What are the 4 areas of the Merit-based Incentive Payment System (MIPS)?
-
National quality form; agency of healthcare research & quality
What are the quality of care measures in COPD? (2)
-
inhaled bronchodilator therapy-percentage of adults w FEV1<60 prescribed LABA/LAMA; # of patients w documented spirometry
What does the National Quality forum (NQF) measure? (2)
-
PQI-5; baseline admission rates for COPD
What does the Agency of Healthcare Research & Quality (AHRQ) measure?
-
HEDIS
_______ measures pharmacotherapy after an exacerbation.
-
percentage of patients>=40; received systemic corticosteroid within 14 days & bronchodilator within 30 days
HEDIS measure?
-
b
Which is voluntary?
a) Hospital Acquired Conditions (HAC)
b) Medicare Shared Savings Program (MSSP)
c) Hospital Readmissions Reduction (HRRP)
d) Merit-based incentive payment system (MIPS)
e) Bundle Payments for Care (BPCI)
f) Hospital Value-Based Purchasing Program (HVBP)
