News and Updates for Healthcare Professionals

EIDM Accounts Necessary to Obtain 2015 PQRS Feedback Reports and 2015 Annual Quality and Resource Use Reports

CMS will be releasing two reports in early fall that will require Enterprise Identity Management (EIDM) accounts to access. The reports scheduled for release are:

  • PQRS feedback reports depicting your program year 2015 PQRS reporting results, including payment adjustment assessment for 2017.
  • 2015 Annual Quality and Resource Use Reports (QRURs) that will show how groups and solo practitioners performed in 2015 on the quality and cost measures used to calculate the 2017 Value Modifier.

Prepare now by either signing up for an Enterprise Identity Management (EIDM) account or ensuring that your existing account is active. EIDM accounts are required for participants to obtain 2015 PQRS feedback reports and 2015 Annual QRURs. The same EIDM account can be used to access both reports. To register for an EIDM account, visit the CMS Enterprise Portal and click “New User Registration” under “Login to CMS Secure Portal.”

The EIDM system provides a way for business partners to apply for, obtain approval of, and receive a single user ID for accessing multiple CMS applications, including PQRS feedback reports.

CMS has packaged several resources for EIDM system users into the EIDM System Toolkit, including the “EIDM User Guide” and “EIDM Quick Reference Guides”. These resources provide instructions for PQRS participants obtaining a new EIDM account, managing and updating information for an existing EIDM account, and adding account role(s) in the Physician Value-Physician Quality Reporting System (PV-PQRS) Domain. The PV-PQRS Domain provides access for PQRS program information for various tasks, including viewing feedback reports.

Information about the 2015 Annual QRURs is available at https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeedbackProgram/2015-QRUR.html.

Stay tuned for more information and resources in the coming weeks and months! In the meantime, please ensure that your EIDM account is active, current, and you’re able to log in, or begin the process to create an account. 

For additional assistance regarding EIDM, contact the QualityNet Help Desk at 1-866-288-8912 (TTY 1-877-715- 6222) from 7:00 a.m. to 7:00 p.m. Central Time, Monday through Friday, or via email at qnetsupport@hcqis.org. To avoid security violations, please do not include personal identifying information such as Social Security Number or Tax Identification Number in email inquiries to the QualityNet Help Desk.

$42 Billion Saved in Medicare and Medicaid Primarily Through Prevention

Today, CMS released a report showing that investments made in program integrity activities – which include stamping out fraud and deterring and reducing other improper payments – pay off for taxpayers and beneficiaries.  From October 1, 2012 through September 30, 2014 (Fiscal Year (FY) 2013 and FY 2014), every dollar invested in CMS’ Medicare program integrity efforts saved $12.40 for the Medicare program.

Click here to read the full article.

The MediCaring Communities Book is Available—A Comprehensive and Practical Reform Agenda for Care of Increasing Numbers of Frail Elders

Five years of work with many clinicians and researchers across the U.S. gave rise today to the release of our reform agenda for frail elders. MediCaring Communities: How to Get What We Want and Need in Frail Old Age at an Affordable Cost is a blueprint for serious reform.

The book is also available on Amazon, and more information can be found at MediCaring.org.

The MediCaring Communities model relies upon six interlocking elements:

  1. Recognize the frail phase of life
  2. Develop comprehensive care plans that reflect elder and family priorities
  3. Make medical care responsive to the medical needs of elders
  4. Enhance the supportive services in the community
  5. Monitor the community needs and implement high-priority improvements
  6. Use savings from more appropriate medical care to meet those community needs

The revenue estimates from Medicare were published last week in Milbank Quarterly on-line early and open access. In 2013, four communities were projected to show substantial savings within a year, making it possible to buttress supportive services and to monitor the service availability and quality for the community.

Please read this comprehensive presentation. We are always eager to hear your ideas in response. Please post reviews on Amazon! That really helps in getting the book into the algorithm that links the book with other searches on Amazon. The book is available for under $10. But if you’d like us to send you a copy, send us a note with your address (and a promise to review!) to info@MediCaring.org.

AHRQ Awards Grants To Address Opioid Abuse

Today, the Agency for Healthcare Research and Quality (AHRQ) announced a series of grants to support rural primary care practices in delivering medication assisted treatment (MAT) for people addicted to opioids and to study how to overcome barriers to increasing access to MAT in rural communities. MAT is an evidence-based therapy for assisting people with opioid addiction and involves using both medications and behavioral support to empower people to manage their addiction. AHRQ is investing approximately $9M over three years in this initiative. Through these grants, rural primary care practices will provide access to MAT to over 20,000 individuals struggling with opioid addiction. They will provide support to practices using both in-person practice facilitation and innovative technology including patient-controlled smart phone apps and remote training and expert consultation using Project ECHO.

To learn more, visit AHRQ’s National Center for Excellence in Primary Care Research.

In healthcare, the only constant is change

Learn how to succeed under MACRA's new payment tracks

In the healthcare industry, things don’t stay the same for long — including clinician reimbursements. Under the Medicare Access & CHIP Reauthorization Act of 2015 (MACRA), clinicians must choose between two new pathways to receive Medicare payments: the Merit-based Incentive Payment System (MIPS) or Advanced Alternative Payment Models (APMs).

To learn more about the two tracks and decide which is right for your organization, download the guide, “MACRA’s Notice of Proposed Rulemaking: MIPS, Advanced APMs and which track is right for you."

Final Research Plan: Screening for Cardiovascular Disease Risk and Atrial Fibrillation with Electrocardiography

The U.S. Preventive Services Task Force posted today a final research plan on screening for cardiovascular disease risk and atrial fibrillation with electrocardiography. The draft research plan for this topic was posted for public comment from May 5 to June 1, 2016. The Task Force reviewed all of the comments that were submitted and took them into consideration as it finalized the research plan. To view the final research plan, please go to http://www.uspreventiveservicestaskforce.org/Page/Document/final-research-plan/cardiovascular-disease-risk-and-atrial-fibrillation--screening-with-electrocardiography.

Genetics of type 2 diabetes revealed in unprecedented detail

A comprehensive investigation has unveiled genetic differences that heighten a person’s risk for developing type 2 diabetes.

Read More

HHS announces new actions to combat opioid epidemic

U.S. Health and Human Services (HHS) Secretary Sylvia M. Burwell today announced several new actions the department is taking to combat the nation’s opioid epidemic. 

The actions include expanding access to buprenorphine, a medication to treat opioid use disorder, a proposal to eliminate any potential financial incentive for doctors to prescribe opioids based on patient experience survey questions, and a requirement for Indian Health Service prescribers and pharmacists to check state Prescription Drug Monitoring Program (PDMP) databases before prescribing or dispensing opioids for pain. In addition, the department is launching more than a dozen new scientific studies on opioid misuse and pain treatment and soliciting feedback to improve and expand prescriber education and training programs.

Read more about today's announcement.