MACRA/MIPS/APMs

MACRA/MIPS Implementation Excellence: Navigating Change in Healthcare Reimbursement


At Coker, we specialize in guiding healthcare organizations through the complexities of MACRA/MIPS implementation, aiming to achieve five key objectives:

Organizational Development:
  • Services include developing structural entities (ACOs, CINs, PCMH’s, CCMAs, SSCIPs) to align provider activities with value-based care delivery as mandated by MACRA.
  • Conduct overall organizational assessments and assist in the creation of clinically integrated entities.

Program Management:

  • Provide education and training on MACRA/MIPS and its impact on healthcare organizations.
  • Develop alignment and integration strategies considering MACRA incentives.

Data Management:

  • Assist in designing or re-designing physician/provider compensation models aligned with MACRA.
  • Develop and build out healthcare technology infrastructure for effective data reporting under MACRA.

Clinician Engagement:

  • Design care processes and procedures aimed at producing higher quality at lower costs, ensuring optimal performance under MACRA.
  • Assemble a team of experts to address each objective systematically.

Auditing and Validation:

  • Provide gap analyses highlighting changes needed for success under MACRA.
  • Conduct revenue opportunities and penalty risk assessments, including financial pro formas.
For each objective, we offer specific deliverables, including:
  • Advisory services for developing organizational/structural entities.
  • Revenue opportunities and penalty risk assessments.
  • Operating plan impact assessments, including staffing level reviews.
  • Healthcare technology capital plan impact assessments.
  • Financial modeling tools for independent use.
  • Application of the Coker ValuePath™ Care Process Design System (CPDS) to optimize MACRA QPP metrics.
  • Step-by-step instructions for QPP reporting requirements in all four MIPS categories.

Our standardized approach is tailored to meet the specific needs of each organization. With our team’s knowledge and expertise, we assist hospitals, health systems, and physician groups of all sizes in optimizing their performance under the transformative MACRA reimbursement system.

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    Contact us today for more information about our healthcare consulting services and learn how we can help your organization.

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