Wellcentive Comments on Federal Government’s Value-based Care Roadmap following SGR R

[Kathy Contes]

Wellcentive Comments on Federal Government’s Value-based Care Roadmap following SGR Repeal

Position statement advocates QCDRs as an important pathway to successfully transitioning to value-based care

ATLANTA—June 1, 2015—Wellcentive, the industry leader in end-to-end population health management, has released a position statement on the importance of Qualified Clinical Data Registries (QCDRs)as a pathway to success in the federal government’s Merit-Based Incentive Payment System (MIPS)in the wake of the SGR Repeal andMedicare Provider Modernization Act of 2015.
 
Wellcentive Chief Product Officer Mason Beard states: “For several years now, the federal government has been spearheading a gradual transition toward value-based care. In January, the Centers for Medicare and Medicaid Services changed its pace, releasing an aggressive timeline for the transition. Now, with the SGR repeal legislation, CMS has, for the first time, laid out a clear and distinct pathway for this important shift to value-based care.
 
“The days of treating value-based care programs as a novelty are over.Provider organizations cannot afford to dabble. Everyone is going to have to pick up the pace and transform their business model to one that embraces value. At Wellcentive, we believe that organizations can begin their value-based care journey by participating with a QCDR. A Qualified Clinical Data Registry is the effective pathway for full participation in CMS’ overall MIPS initiative.”
 
The SGR repeal legislation designated MIPS as the government’s official method for determining provider reimbursement rates. MIPS creates a composite performance score that informs a provider’s reimbursement based on four performance categories:  quality,resource use, meaningful use of electronic health records and clinical practice improvement activities.
 
Qualified Clinical Data Registries will prove key to successfully reporting performance to CMS for MIPS purposes. QCDR represents the next generation of CMS’ quality reporting programs. It will consolidate quality and outcomes reporting for government programs, including:

• Physician Quality Reporting System(PQRS) for small physician groups
  
• PQRS GPRO (Group Practice Reporting Option) and VBM (Value Based Modifier) for large physician groups 
  
• Medicare Shared Savings Program accountable care organizations  
  
• Clinical quality measures for meaningful use  
  
  
  
  
  

“Because of its streamlined ‘report once’ concept, we expect QCDR to grow rapidly,” Beard added. “Provider organizations will need QCDR solutions that help them not only consolidate their reporting but also give them tools for improving outcomes and proving value. As a comprehensively certified QCDR, Wellcentive delivers a complete solution that puts providers on the pathway to MIPS success and, ultimately, to managing all patients from all payers using a single population health management platform.”  

QCDR reporting is just the latest advance in Wellcentive’s history of helping providers report on quality and performance to CMS. Chosen in 2007 to work with CMS to test registry submission,Wellcentive was a PQRI and PQRS pioneer.
Likewise, the company updated and expanded its solution model when CMS introduced GPRO. Wellcentive supports both QCDR and registry reporting options.  

About Wellcentive
Wellcentive’s solutions are built from the ground up to help our customers improve quality, optimize revenue, and transform the healthcare process. Our value-driven population health management solution combines our more than 10 years of population health management (PHM) experience with highly scalable cloud-based technology and transformative services to deliver clinical, financial and human outcomes for providers, health organizations, payers and employers. Wellcentive has gained recognition as a leader in population health management in reports by IDC Health, KLAS and Chilmark. We aggregate over one billion data points per month from more than 3,000 interfaces, improving outcomes for over 30 million lives. Visit www.wellcentive.com; follow uson Twitter, LinkedIn and Facebook; or call 877-213-8456 to learn more.