HFMA Webinar Recap: How North Mississippi Health Services took MACRA to the limit with nThrive

By Moshe Starkman, nThrive Senior Director of Value-Based Reimbursements | Posted: 12/20/2018

nThrive analytics and health information management solutions

On December 5, nThrive and North Mississippi Health Services (NMHS) participated in an HFMA-hosted health care webinar, “Moving to Value-Based Reimbursements (VBR): Successful Best Practices in Quality Reporting.”  Attended by over 300 participants, the event examined how NMHS teamed with the nThrive QPP Registry to achieve the highest possible score under the Quality Payment Program (QPP).

By leveraging nThrive analytics MIPS1 registry services, NMHS gained access to a wider pool of measures than are available to electronic health record systems (EHRs), ultimately achieving a maximum payment adjustment bonus of 1.88 percent for the first payment adjustment year of 2019.

NMHS leaders recognize the long-term advantages of value-based care and have defined a multi-year strategy to facilitate a volume-to-value transition. Taking this long view, the Tupelo-based health system – which serves 24 rural counties across northeast Mississippi and northwest Alabama, with high Medicare Part B volume – was well prepared to meet the new challenges that MIPS reporting presented.

More available measures meant more opportunities to compete

One issue NMHS encountered when assessing their quality reporting capabilities was a limited selection of quality measures, a problem for any EHR platform today. They knew that some of their most competitive measures would not be available without partnering with a CMS qualified data registry.

Multiple data sources

Drawing data from multiple sources for more than 400 of NMHS’ eligible clinicians across 10 TINs2 enabled NMHS to successfully submit measures for all three of the MIPS categories: Quality, Advancing Care Information (now Promoting Interoperability) and Improvement Activities.

Good planning and partnership created a smooth process

nThrive worked closely with the NMHS information technology (IT) department to ensure a smooth implementation that would not put undue stress on their existing systems. For example, nThrive implemented a customized import process and developed a new export report to better integrate with existing NMHS systems.

In terms of difficulty, I put the MIPS reporting requirements at a medium in the range of difficulty. We processed almost a dozen TINs representing hundreds of health care providers in the NMHS system. Normally this would be lower on the difficulty scale, but we incorporated several customizations to make the process as painless as possible for their team.

Audience engagement was high during the discussion, with patient and physician engagement garnering much of the interest. On physician engagement, when it comes to advancing quality improvement in health care and promoting performance, the challenge is still about gaining acceptance and adoption of this new way of thinking. With patient engagement, there is limited access to health care technology in many cases, especially in rural areas where tech utilization is historically low. For instance, people still don’t have a comfort level with ordering electronic prescriptions, etc.

Contact nThrive today to see our suite of industry-leading health information management solutions and learn how you can engage with the nThrive CMS-certified registry to help your health care organization meet MACRA3 requirements in 2018 and beyond. 

1Merit-Based Incentive Payment System

2Tax Identification number 

3Medicare Access and CHIP Reauthorization Act of 2015