CMS Meaningful Use Incentives

Document technical information

Format pdf
Size 215,1 kB
First found авг 16, 2016

Document content analysis

Language
English
Type
not defined
Concepts
no text concepts found

Organizations

Transcript

Successfully Leveraging HITECH Resources
Panel of Federally Funded Programs
EHR Incentives
Minnesota e-Health Summit
2010


Centers for Medicare & Medicaid Services
Electronic Health Record Incentives


Bob Paulsen
Minnesota Department of Human Services
Funded by the Health Information Technology for
Clinical Health (HITECH) Act
Centers for Medicare & Medicaid Services (CMS)
issued Notice of Proposed Rule Making (NPRM) on
December 30, 2009 and officially published on
January 13, 2010
Public comment period ended March 15, 2010
Final regulations anticipated in June or July 2010
1
EHR Incentives (contd.)




Policy Priorities
Provides incentives to eligible professionals (EP),
eligible hospitals (EH) and critical access
hospitals (CAH) that adopt and meaningfully use
certified electronic health records (EHRs)
Medicare EHR incentives administered by CMS
Medicaid EHR incentives administered by states
Significant alignment and coordination between
CMS and Office of National Coordinator (ONC)
with other HITECH initiatives





3
Minnesota e-Health Summit 2010
2
Improving quality, safety, and efficiency and
reducing health disparities
Engaging patients and families in their healthcare
Improving care coordination
Improving population and public health
Ensuring adequate privacy and security
protections for personal health information
4
1
Successfully Leveraging HITECH Resources
Panel of Federally Funded Programs
Evolution of Development
Meaningful Use Stage 1
Incremental and phased implementation
 Stage 1 Meaningful Use: Data capture and
sharing





Policy Priority
Improving quality,
safety, and efficiency
and reducing health
disparities
Engaging patients and
families in their
healthcare
Improving care
coordination
Improving population
and public health
Electronically capturing health information in a coded
format
Using information to track key clinical conditions
Communicate information for care coordination purposes
Reporting clinical quality measures and public health
information
Stages 2 and 3 evolve towards advanced clinical
processes and improved outcomes

Defined in future rulemaking for 2013 and 2015
5
Meaningful Use Stage 1
Objectives/Measures
Eligible Providers
Eligible Hospitals
16
14
3
2
3
3
2
3
Ensuring adequate
privacy and security
protections for personal
health information
1
1
Total
25
23
Differences between Medicare and
Medicaid EHR Incentives Programs
EHR Incentives Program Timeline

Medicaid
Medicare
States administered and voluntary
CMS administered
No CMS imposed penalty for not
meeting criteria of EHR Meaningful
Use (MU)
Medicare fee schedule reductions
start 2015 for physicians who are
not Meaningful Users (MU)
Maximum EP total incentive is
$63,750
Maximum EP total incentive is
$44,000
States can make adjustments to
baseline MU criteria. Can’t be less
than Medicare MU criteria
MU criteria is standard

Only physicians, subsection (d)
hospitals, and CAHs


Starts in 2011
Ends in 2021
Last year to initiate program is 2016
Medicare EHR Incentive program:

7
Minnesota e-Health Summit 2010


Last payment year 2021; last year Last payment year 2016; last year
an EP may initiate program is 2016 an EP may initiate program is 2014
Five types of EPs, two types of
hospitals
Medicaid EHR Incentive program:


6
Starts in 2011
Ends in 2016
Last year to initiate program is 2014
Both have benefits for earlier participation
8
2
Successfully Leveraging HITECH Resources
Panel of Federally Funded Programs
Maximum Medicare Incentives for EP (not
practicing in Health Professional Shortage Area)
Maximum Medicaid Incentives for EP
Calendar Year
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
TOTAL
2011
$21,250
$8,500
$8,500
$8,500
$8,500
$8,500
$63,750
First CY EP Receives Incentive Payment
2012
2013
2014
2015
$21,250
$8,500
$8,500
$8,500
$8,500
$8,500
$63,750
Stage1
$21,250
$8,500
$8,500
$8,500
$8,500
$8,500
$63,750
$21,250
$8,500
$8,500
$8,500
$8,500
$8,500
$63,750
Stage 2
$21,250
$8,500
$8,500
$8,500
$8,500
$8,500
$63,750
Calendar Year
2016
2011
2012
2013
2014
2015
2016
TOTAL
$21,250
$8,500
$8,500
$8,500
$8,500
$8,500
$63,750
First CY EP Receives Incentive Payment
2011
2012
2013
2014
$18,000
$12,000 $18,000
$8,000
$12,000 $15,000
$4,000
$8,000
$12,000 $12,000
$2,000
$4,000
$8,000
$8,000
$2,000
$4,000
$4,000
$44,000 $44,000 $39,000 $24,000
Stage1
Stage 2
2015 +
$0
$0
$0
Stage 3
Stage 3
9
National Level Repository

National Level Repository (contd.)
National Level Repository (NLR) developed
and maintained by CMS





Single point of entry for registration for both
Medicaid and Medicare EHR incentives
Ensure no duplication of payments between
Medicare and Medicaid and between states
Allows Medicare to meet its mandate for online
posting requirements
Track EHR incentives nationally
Ensure accurate and timely payments
11
Minnesota e-Health Summit 2010
10


EPs and EHs elect state participation
Collects following proposed information:






Name
NPI
Business Address/Phone
Taxpayer Identification Number (TIN)
EPs elect participation in Medicare or Medicaid
EHR Incentive Program
NLR interfaces with state EHR systems
12
3
Successfully Leveraging HITECH Resources
Panel of Federally Funded Programs
National Level Repository (contd.)
ist
o
Inf
a
rm
Re
g
ar e
Sh
er
National Level Repository (contd.)
n
tio
Adapted from: CMS Open Door Forum. Feb 26, 2010. NLR narrative 022310.pdf
13
Working Together for the Patient
Source: CMS Open Door Forum. Feb 26, 2010. Medicaid EP Data Exchanges 022310 DRAFT.pdf
Resources:

CMS



Minnesota e-Health Summit 2010
http://edocket.access.gpo.gov/2010/pdf/E931217.pdf
Minnesota e-Health Initiative

15
http://healthit.hhs.gov/meaningfuluse
Draft NPRM


http://www.cms.gov/Recovery/11_HealthIT.asp
HHS – Meaningful Use

Adapted from: Blumenthal D. Launching HITECH. NEJM Posted Dec 30, 2009
http://healthcarereform.nejm.org/?p=2669
14
http://www.health.state.mn.us/e-health
16
4
Successfully Leveraging HITECH Resources
Panel of Federally Funded Programs
Contact Information
Bob Paulsen
Minnesota Department of Human Services
[email protected]
17
Minnesota e-Health Summit 2010
5

Similar documents

×

Report this document