Urgent care is taking over Primary Care – how will you respond?

By Dr. Mansoor Khan
The business of health care is changing; faster than most of us would like. The Urgent Care sector is projected to grow to over $26 Billion per year by 2023. Between 2007 and 2016 the number of claim lines for Urgent Care grew by 1,725%. Interestingly from 2012 to 2017 the number of patients using non-face-to-face services grew by 600% and is expected to accelerate. You see the pattern(s)? There are actually 2 primary takeaways from this data: 1) Urgent care is taking business from traditional brick-and-mortar care (remember this term from the dot com days?), yes, it is finally happening to medicine! 2) The non-face-to-face visit is growing even faster. I very purposefully use the term non-face-to-face rather than e-visit or telemedicine because the later 2 terms have a lot of reimbursement limitations that make them of very marginal value for the average practice. However, the non-face-to-face visit encompasses ... read more

Final rule for MIPS in Year 2, 2018 is out!

CMS has announced its final rule for the MIPS with comment period for year 2, 2018. With new provisions, CMA has built flexibility into MIPS policies to minimize burden of participation and gear up the clinicians for full implementation in the following year. Here are 7 key things to know that will change MIPS in 2018:
  • Cost gets a weightage
Currently, the performance category weights for the MIPS final score are: 60% quality, 0% cost, 15% performance activities, 25% Advancing Care Information. Next year, quality will be weighted at 50% while the cost at 10%. The cost performance category will be measured against Medicare Spending per Beneficiary and total per capita cost measures. The Improvement activities and advancing care information category weights remain at 15% and 25% respectively.
  • Extended performance period
The performance period for the quality ... read more