2017-05-02 19:57:20 UTC

May 2, 2017

Dr. Steven Carpenter selected to sit on CMS subcommittee tasked with prioritizing GI episodes.

On April 25, AGA submitted comments to CMS on GI episodes proposed for cost measure development under the Merit-based Incentive Payment System (MIPS). Proposed episodes were identified by CMS using four criteria — Medicare expenditure share, opportunity for improvement, clinician coverage and alignment with quality measures. Our comments focused on the GI episodes proposed by CMS, including:

Inpatient

  • Cirrhosis and alcoholic hepatitis.
  • Disorders of the biliary tract.
  • Esophagitis, gastroenteritis and miscellaneous digestive disorders.
  • Gastrointestinal hemorrhage.
  • Gastrointestinal obstruction.
  • Major gastrointestinal disorders and peritoneal infections.

Procedural

  • Diagnostic colonoscopy.
  • Screening/surveillance colonoscopy. 

Chronic

  • Chronic liver disease.
  • Gastroesophageal reflux disease.
  • IBD. 

Comments submitted will be used by CMS Clinical Subcommittees to prioritize and further develop cost measures for up to three episodes in each disease area. 

AGA Member to serve on GI Disease Management Clinical Subcommittee

As a result of AGA’s nomination, Steven Carpenter, MD, MACP, AGAF, senior partner, Center for Digestive & Liver Health, SavannahGA, and member of the AGA Government Affairs Committee has been chosen to participate on the GI Disease Management Clinical Subcommittee, which will be tasked with prioritizing and developing cost measures for gastroenterology. 

GI cost measure development is expected to conclude in fall 2017. Inclusion of specific cost measures under MIPS is subject to public notice and comment. As such, the earliest GI cost measures may be included under MIPS is the 2019 reporting period. Performance in the 2019 reporting period impacts calendar year 2021 payments.

AGA MACRA Webinar Series

AGA offers tools to help you plan for implementation of MACRA (Medicare Access and CHIP Reauthorization Act of 2015), of which MIPS is a component. While it seems overwhelming, there are steps that you can take to get ready. The AGA MACRA webinars will help you learn more about the CMS program, including practical tips for preparing yourself and your practice to succeed. The webinars can be viewed on the AGA Community (log in required):

Have questions? Visit the AGA Community to discuss MACRA and quality reporting with your colleagues.

More on MACRA

Clinicians: Prepare to Hear from CMS about MACRA Participation

April 27, 2017

CMS to start sending letters alerting you to your qualification status.

AGA Tools Help GIs Participate in MACRA

April 18, 2017

AGA offers opportunities (both in-person and on-demand) for GIs to learn about and discuss participation in MACRA.

PTAC Payment Model Recommendations Include a GI Option

April 12, 2017

An advanced Alternative Payment Model for IBD will be tested as a potential physician-focused payment model.