National Coordinator for Health IT Karen DeSalvo, MD, MSc, MPH, set the record straight regarding Meaningful Use during a joint HIT Policy and Standards Committee meeting on Jan. 20.
Even though the industry is in the process of transitioning to value-based payment and the Medicare Access and CHIP Reauthorization Act (MACRA) passed by Congress last year, MACRA won’t happen overnight, DeSalvo said. Proposed regulations will be released for public comment this spring and physicians’ Medicare payments will continue to be based on their use of certified EHR technology.
Referencing her blog post with Centers for Medicare & Medicaid Services Acting Administrator Andy Slavitt, DeSalvo said, “We’re moving to a place where we’re rewarding better outcomes and using health IT, rather than focusing on rewarding health IT particularly.”
MACRA includes the Merit-Based Incentive Program (MIPS) and
DeSalvo reiterated the goal the Department of Health and
Despite ongoing calls for an end to Meaningful Use, MACRA actually modifies participation and payment for Medicare-eligible professionals and requires participants to use certified health IT.
Elise Sweeney Anthony, acting director of ONC’s Office of Policy, also spoke at the meeting. She explained that 25 percent of the composite performance score that determines a physician’s penalty or
Sweeney Anthony also noted that MACRA focuses on Medicare EPs, not eligible hospitals, critical access hospitals or Medicaid providers. While CMS and ONC consider how best to align MACRA with these other stakeholders, ONC’s certified health IT program will “continue to flourish.”