Join This Week’s KareoChat on the latest CMS Initiatives: Meaningful Measures and Patients Over Paperwork

#kareochat on Twitter — November 9th, 2017 at 12 pm ET

In recent weeks CMS has announced two significant initiatives aimed at addressing the regulatory burden for healthcare providers. These efforts advance CMS’s “patients first” focus, under the working premise that the regulatory burden has a negative impact on the provider-patient relationship.

In recent speeches and presentations, CMS Administrator Seema Verma has shared her vision for reinventing CMS to put patients first via more effective partnership with patients, providers, payers and other key stakeholders. In her speech at the Health Care Payment Learning and Action Network (LAN) on October 30, 2017, Verma stated, “We aim to be responsive to the needs of those we serve. We can’t do that if we’re simply telling our partners what to do – instead of listening and – more importantly – having our policies be guided by those on the front lines serving patients.”

The two recently-introduced initiatives are as follows:

“Patients Over Paperwork” is geared toward scrapping or reducing regulations while lowering healthcare costs and enhancing patient care. CMS has signaled the intention to review “all” of their regulations to retain or improve only those that advance the goal of “patients first”. In her LAN speech, Verma stated CMS is asking itself:

  • What is the purpose of the regulation?
  • Is this required by Congress?
  • Does it make sense, does it help us prevent fraud and abuse?
  • Is it duplicative?
  • Does it meaningfully impact patient care and safety or improve outcomes?
  • If not, then why do we have the regulation in the first place?

“Meaningful Measures” is CMS’s comprehensive initiative on quality measures to reduce the burden of reporting such that only those core issues that are the most vital to providing high-quality care and improving patient outcomes are required for assessment and reporting. “Meaningful Measures” draws upon advice and input from the LAN, the National Academies of Medicine, the Core Quality Measures Collaborative, and the National Quality Forum. The ultimate goal of Meaningful Measures is to direct efforts on high priority areas to:

  • Address high impact measurement areas that safeguard public health
  • Promote more focused quality measure development towards outcomes that are meaningful to patients, families and their providers

These initiatives have received resounding support from organizations like the American Hospital Association, the American Academy of Family Physicians and others as providers look to rebalance the allocation of time spent on “meaningful patient care” and “administrative activities”.

Join us for this week’s #KareoChat, hosted by Immersive Co-Founder, Stephanie Crabb, for what we hope will be a vibrant discussion about these two initiatives and the implications for the modern physician practice.

Our starter questions:

Q1: What are your initial impressions of the “Meaningful Measures” and “Patients Over Paperwork” initiatives?

Q2: When you reflect on the current state of quality measurement/reporting, what current requirements do you think meet CMS’s working definition of “meaningful” and are worth the “burden” and which do not?

Q3: Do you believe that the burden associated with reporting quality measures into the EHR outweigh their utility?

Q4: What specific regulation(s) creates the most significant “paperwork” burden and why? What role does technology support/not support this challenge?

Q5: CMS is also revamping the Center for Medicare and Medicaid Innovation (CMMI). What areas do you think are ripest for innovation?

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