On April 25, 2018, the Centers for Medicare and Medicaid Services (CMS) announced a number of policy changes. One of these was a name change for the Advancing Care Information (ACI) performance category within the Merit-based Incentive Payment System (MIPS). The category, now known as Promoting Interoperability (PI), replaced the Meaningful Use legacy program in 2017.
The proposed policies released would begin implementing core pieces of the government-wide MyHealthEData initiative through several steps to strengthen interoperability, or the sharing of health care data between providers. Specifically, CMS is proposing to overhaul all implementations of the Medicare and Medicaid Electronic Health Record Incentive Programs, or Meaningful Use, to:
- make the program more flexible and less burdensome,
- emphasize measures that require the exchange of health information between providers and patients and
- incentivize providers to make it easier for patients to obtain their medical records electronically.
In addition, the proposed rule reiterates the requirement for providers to use the 2015 Edition of certified electronic health record technology in 2019 as part of demonstrating meaningful use to qualify for incentive payments and avoid reductions to Medicare payments. This updated technology includes the use of application programming interfaces (APIs), which have the potential to improve the flow of information between providers and patients. CMS plans to use APIs to allow patients the ability to collect their health information from multiple providers and potentially incorporate all of their health information into a single portal, application, program or other software. This can support a patient’s ability to share their information with another member of their care team or with a new doctor, which can reduce duplication and provide continuity of care.
Click to learn more about the 2018 MIPS program and the QOPI Reporting Registry.