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Optum, AMGA form collaborative to help providers succeed with MACRA

Mayo Clinic, Northwell, among providers taking part in program to share information and best practices in the 2019 payment year.

Susan Morse, Managing Editor

AMGA and Optum are working with 17 healthcare providers, including the Mayo Clinic, Northwell Health and OptumCare, to help them achieve payment success in the merit-based incentive payment system.

MIPS, one of two payment tracks created under the Medicare Access and CHIP Reauthorization Act of 2015, governs how physicians and other clinicians are paid for Medicare Part B. 

[Also: AHIP to support MACRA, APMs and clinician virtual groups as qualifying for MIPS payments]

MIPS went into effect in January for the 2019 payment year.  Clinicians who show high performance in areas of quality, advancing care information, improvement activities and cost, will receive positive payment adjustment.

Optum and AMGA, originally known as the American Association of Medical Clinics, formed the MIPS Collaborative in March.

MIPS Collaborative advisors from five health systems and Optum are helping 17 providers achieve success using AMGA's best practices learning collaboratives, shared-learning programs designed specifically for medical organizations striving to improve patient care and organizational transformation, according to AMGA Foundation President Jerry Penso, MD, who is also chief medical and quality officer for AMGA. 

[Also: CMS slowly ramping up quality score measures in MIPS to prepare doctors for the future]

Erik Johnson, vice president of value-based care for Optum Advisory Services, said the MIPS Collaborative will succeed through shared information and best practices.

Optum, a division of UnitedHealth Group, this week announced the launch of a $250 million venture fund called Optum Ventures to invest in digital healthcare startups.

[Also: Optum forms $250 million venture fund to invest big in healthcare innovation]

The MIPS Collaborative will run through July 2018. 

Participating providers are: Beaumont Health in Michigan, Billings Clinic in Montana, Carle Hospital in Illinois, Excela Health Medical Group in Pennsylvania, Genesis Medical Group in Iowa, Health Quest Medical Practice in New York, Lexington Clinic in Kentucky, Mayo Clinic in Minnesota, North Mississippi Medical Clinics in Mississippi, Northwell Health in New York, OptumCare in Minnesota, Prevea Health in Wisconsin, Purchase Anesthesia in Kentucky, St. Elizabeth Physicians in Kentucky, SwedishAmerican in Illinois, UNC Health Care in North Carolina and WellMed Medical Group in Texas.

Twitter: @SusanJMorse
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