Understanding Changes in Medicare Reimbursement Under the Medicare Access and CHIP Reauthorization Act (MACRA)

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Understanding Changes in Medicare Reimbursement Under the Medicare Access and CHIP Reauthorization Act (MACRA)​
A CME/AAFP-certified, MOC Eligible Activity

Release date: January 31, 2019
Expiration date: January 31, 2020

ACA, MACRA and recent policy is rapidly accelerating the shift of healthcare payment from volume- to value-based reimbursement. This session will explore the waters of payment transformation through the use of data and essential strategies and technologies associated with alternative payment models (APMs) and the merit-based incentive payment system (MIPS).

Welcome, Introduction, Pre-Survey
Quality Intersects with Payment
Population-Based Payment (PBP)
Role of Structured Data 
Q&A Session and Concluding Remarks

This activity is intended for the community-based primary care team, including physicians, physician assistants, and nurse practitioners.

At the conclusion of this activity, participants should be able to demonstrate the ability to: 

  • Identify strategies to implement in your personal practice today that will prepare you for the changes coming your way with MACRA legislative mandated changes
  • Describe the role of effective data capture starting in 2017 to determine the value of services and healthcare reimbursement under population-based payment (PBP) models being applied in healthcare effective in 2019
  • Implement changes in improved data capture that aligns with MACRA essential documentation within the primary care group practice and among organizational leaders including coding staff

The Potomac Center for Medical Education is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Potomac Center for Medical Education designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

 Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.25 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

To receive CME credit and/or MOC points, you MUST pass the post-test and complete the evaluation. For ABIM MOC points, your information will be shared with the ABIM through PCME’s ACCME Program and Activity Reporting System (PARS). Please allow 6-8 weeks for your MOC points to appear on your ABIM records.

For questions regarding CME credit or the evaluation, please email contact@potomacme.org.

This Enduring Material activity, Understanding Changes in Medicare Reimbursement Under the Medicare Access and CHIP Reauthorization Act (MACRA), has been reviewed and is acceptable for up to 1.00 Prescribed credit(s) by the American Academy of Family Physicians. AAFP certification begins 1/31/2019. Term of approval is for one year from this date. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

 Adele Allison
Director of Provider Innovation Strategies
 DST Health Solutions, LLC
 Birmingham, AL



Adele Allison monitors healthcare reform for DST System’s Health Solutions Division, a leading provider of health IT solutions for payers, providers and pharmacies dedicated to improving the delivery and administration of healthcare in terms of clinical, financial and patient health outcomes. 

Having served as the Co-chair of the HHS ONC Beacon-EHR Vendor Affinity Group, Adele is a current member of the board of directors and co-chair for HHS’ Workgroup for Electronic Data Interchange (WEDI) Payment Models Workgroup.  Adele has nearly 30 years of healthcare experience and is a legislative/regulatory subject matter expert. She has been the guest speaker at dozens of national events, sharing her expertise on health IT, federal legislation/policymaking, healthcare reform, and many other topics.

A published author, Allison is a member of the University of Alabama at Birmingham (UAB) advisory board on curriculum development, served on UAB’s HITECH Committee for health IT curriculum development, and is the President-elect for the board of directors for Alabama HIMSS.

Program Faculty and Steering Committee Disclosures

The program faculty and steering committee reported the following relevant financial relationships that they or their spouse/partner have with commercial interests:

Adele Allison  Employee: DST Health Solutions

Non-faculty Content Contributors Disclosures

Non-faculty content contributors and/or reviewers reported the following relevant financial relationships that they or their spouse/partner have with commercial interests:

Nicolle Rochino, PharmD, RPh; Chad Williamson, MS, MBA, CMPP; Blair St. Amand; Ashley Marostica, RN, MSN, CCM; Lindsay Scott, PT, DPT, ATC: Nothing to disclose

The contents of some CME/CE activities may contain discussions of non-approved or off-label uses of some agents mentioned. Please consult the prescribing information for full disclosure of approved uses.

In order to view this presentation, your computer must have audio capabilities (working speakers or headphones) and must have an internet browser capable of playing an HTML5 video.

There is no fee for this activity. To receive credit, participants must take the pre-test, view this CME activity in its entirety, and then complete the post-test, with a score of 75% or better, and evaluation. The estimated time for completion of this activity is 1 hour. To receive their certificates, participants must demonstrate mastery of the presented material via the post-test. Participant is allowed to take the post-test multiple times.

Physicians seeking ABIM MOC Points will be required to provide:

  • ABIM six-digit ID number
  • First and last name
  • Date of birth (mm/dd)

Provided by Potomac Center for Medical Education

This activity is not supported by any commercial interest or grantor.

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