--- title: Audacious AI Blog description: MACRA, MIPS and QPP analysis for ACOs and Medical Practice --- [![C3 CCM](https://blog.macramonitor.com/hs-fs/hubfs/C3%20MACRA%20Monitor.jpg?width=606&height=236&name=C3%20MACRA%20Monitor.jpg "C3 CCM")](http://c3partners.biz/) - [Home](http://c3partners.biz/) - [Capabilities](http://c3partners.biz/capabilities/) - [Healthcare AI](http://c3partners.biz/healthcare-ai/) - [About](http://c3partners.biz/about/) # Audacious AI Blog [![Perfect Quality](https://blog.macramonitor.com/hs-fs/hubfs/Perfect%20Quality.jpg?width=708&name=Perfect%20Quality.jpg)](https://blog.macramonitor.com/undefined/all-acos-should-achieve-100-quality-for-mips-in-2020) 17 October, 2019 ## All ACOs should achieve 100% Quality for MIPS in 2020 The 2020 Proposed Rule gives ACOs a big advantage when reporting CQM for MIPS next year. For those ACOs who can influence their clinics to report quality on their own (rather than have the ACO do it for them), the rules give a big bonus (extra 50... [Continue Reading](https://blog.macramonitor.com/undefined/all-acos-should-achieve-100-quality-for-mips-in-2020) [![fedreg-first-issue](https://blog.macramonitor.com/hs-fs/hubfs/fedreg-first-issue.png?width=708&name=fedreg-first-issue.png)](https://blog.macramonitor.com/undefined/observations-on-2020-mips-proposed-rule) 11 October, 2019 ## Practical Implicationson 2020 MIPS Proposed Rule This year, CMS published its shortest set of updates to MACRA yet. Of course, "short" is a relative term and there are only 108 pages of Federal Register content to contemplate. After a rather dramatic set of 2019 changes, we might be starting to... [Continue Reading](https://blog.macramonitor.com/undefined/observations-on-2020-mips-proposed-rule) [![mistake_1-668x445-c](https://blog.macramonitor.com/hs-fs/hubfs/mistake_1-668x445-c.jpg?width=708&name=mistake_1-668x445-c.jpg)](https://blog.macramonitor.com/undefined/with-mips-cms-isnt-always-right) 23 September, 2019 ## With MIPS, CMS Isn’t Always Right Doug Blinco is a colleague of mine, who works in Wellstar Health Systems, also part of a large ACO in Georgia. Doug recently shared an experience with me that we are calling “CMS doesn’t always get it right”. Over the course of the several months... [Continue Reading](https://blog.macramonitor.com/undefined/with-mips-cms-isnt-always-right) [![Best Practice Image](https://blog.macramonitor.com/hs-fs/hubfs/Best%20Practice%20Image.png?width=708&name=Best%20Practice%20Image.png)](https://blog.macramonitor.com/undefined/give-your-macra-scores-some-attention-because-2019-should-have-more-money) 5 September, 2019 ## More Money in MACRA Means more Monitoring There is a new Best Practice in town.  Really - it is worthwhile this year!  MACRA reimbursement goes up each time thresholds get higher, and scoring gets harder.  2019 will be the hardest year yet - and that difficulty should drive more dollars into... [Continue Reading](https://blog.macramonitor.com/undefined/give-your-macra-scores-some-attention-because-2019-should-have-more-money) [![Chart 2](https://blog.macramonitor.com/hs-fs/hubfs/Chart%202.jpg?width=708&name=Chart%202.jpg)](https://blog.macramonitor.com/undefined/your-macra-payments-through-2025) 24 June, 2019 ## Your MACRA Payments through 2025 I can't tell you how often I've heard that MACRA payments can't be predicted.  Hogwash!  The rules are complex, and contain variables adjusted annually.  But here is a nice table that can help with CMS-originated variables: [Continue Reading](https://blog.macramonitor.com/undefined/your-macra-payments-through-2025) [![alternatives 2](https://blog.macramonitor.com/hs-fs/hubfs/alternatives%202.jpg?width=708&name=alternatives%202.jpg)](https://blog.macramonitor.com/undefined/estimating-macra-reimbursement-under-six-year-aco-offers) 13 June, 2019 ## Estimating MACRA reimbursement over 5 Years, as Program Changes Kick In *Prior Results are not an indicator of future performance!  *Whether you decide to join an ACO, or to remain independent, your decision contractually impacts your next five years of Medicare reimbursement. Financially analyzing "join or not join"... [Continue Reading](https://blog.macramonitor.com/undefined/estimating-macra-reimbursement-under-six-year-aco-offers) [![Contract Image](https://blog.macramonitor.com/hs-fs/hubfs/Contract%20Image.jpg?width=708&name=Contract%20Image.jpg)](https://blog.macramonitor.com/undefined/macra-provider-contracts-and-credentialling) 16 May, 2019 ## MACRA, Provider Contracts and Credentialling The first two years have been easy. CMS defined MACRA that way with transitional rules designed to attain high participation, while minimizing penalties for small and rural providers. The practical upshot has been that penalty pools are sparsely... [Continue Reading](https://blog.macramonitor.com/undefined/macra-provider-contracts-and-credentialling) [![QRDA Image](https://blog.macramonitor.com/hs-fs/hubfs/QRDA%20Image.jpg?width=708&name=QRDA%20Image.jpg)](https://blog.macramonitor.com/undefined/macra-cqms-matter-more-this-year) 6 May, 2019 ## MACRA CQMs Need More Attention This Year In the big picture, CMS is doing the "right thing" with Clinical Quality Measures. The concept that providers can evaluate their Quality performance in near real time is a giant leap forward from the world of year-end reporting with Manual... [Continue Reading](https://blog.macramonitor.com/undefined/macra-cqms-matter-more-this-year) [![2018-11-29_Healthcare_workforce_managment](https://blog.macramonitor.com/hs-fs/hubfs/2018-11-29_Healthcare_workforce_managment.jpg?width=708&name=2018-11-29_Healthcare_workforce_managment.jpg)](https://blog.macramonitor.com/undefined/monthly-macra-staffing-metrics) 30 April, 2019 ## Monthly MACRA staffing metrics ACOs are not big organizations.  And everyone has a job to do, without a lot of time built in for unexpected work.   We believe strongly in measuring and managing [Monthly MACRA](https://macramonitor.com/monthly-macra), throughout the year.  With [regulatory changes in 2019](https://macramonitor.com/2019-impact), Monthly MACRA... [Continue Reading](https://blog.macramonitor.com/undefined/monthly-macra-staffing-metrics) [![Newslettter Template](https://blog.macramonitor.com/hs-fs/hubfs/Newslettter%20Template.jpg?width=708&name=Newslettter%20Template.jpg)](https://blog.macramonitor.com/undefined/aco-provider-newsletters-for-macra) 26 April, 2019 ## Personalize your ACO Provider newsletters for MACRA If you want to engage ACO TINs in your [Monthly MACRA](https://macramonitor.com/monthly-macra) program, you will want a simple, relevant and consistent communication vehicle.   A well-organized  [MACRA database](https://macramonitor.com/aco-macra-software) should be the source for newsletter content customized to each TIN. The first thing... [Continue Reading](https://blog.macramonitor.com/undefined/aco-provider-newsletters-for-macra) [All posts](https://blog.macramonitor.com/undefined/all) [Next](https://blog.macramonitor.com/undefined/page/2) C3 Partners, LLC                414-640-2817                          28717 Blue Crane Court, Waterford, WI C3 Partners LLC 28717 Blue Crane Court Waterford, WI