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Shifting to Value

Awareness, Action and Alignment

In September 2016, 100 health care leaders, consumers, and others gathered to gain a deeper understanding of the national shift to value-based care and the proposed MACRA* rule. The aim of the day, which was convened and facilitated by ICSI, was to begin addressing MACRA questions, discover key issues relative to Minnesota, and learn how others are preparing, gaining ideas to bring back to participants’ own organizations.

Please contact Cally Vinz with any questions.


In this time of post-election transition, keep in mind that MACRA* legislation is separate from ACA legislation. This further complicates interpretation of what a new administration and Congress might prioritize in 2017. However, because MACRA legislation was a bipartisan effort, it is the opinion of most experts that implementation of MACRA will remain in place.

CMS has positioned 2017 as a transition year for implementing components of the Quality Payment Program (QPP) in the current release of rules around MACRA legislation. Practices can “pick their pace” for MIPS reporting, and there are fewer measures. Read the final rule. Two important points:

  • While participation requirements are now minimal, you must still do something in 2017 to avoid negative payment adjustment.
  • Essential program components have not changed; it’s not going away. Use the transition time to educate yourself and prepare for the ongoing rollout.

We have curated some good resources below, and are keeping abreast of changes as they unfold, attending the recent National MACRA MIPS/APM Summit and the CMS Quality Conference in mid-December. We’ll share more as additional information becomes available.

Latest News

Good News for Minnesota Health Care Homes Regarding MIPS

(January 2017) The Centers for Medicare and Medicaid Services (CMS) has informed The Minnesota Department of Health that practices certified as a Minnesota Health Care Home model will qualify to receive full credit for the Clinical Practice Improvement Activities Performance Category (CPIA) of the Merit Based Incentive Payment Systems (MIPS) program. Read more in the January 2017 edition of ICSI News.

MACRA Resources

CMS Resources

Other MACRA Resources

GENERAL Affordability Resources

These resources help medical groups and hospitals address cost reduction opportunities that improve the affordability of health care while simultaneously improving, or at least maintaining, the quality and experience of care.

Understanding the Terminology

Total Cost of Care Glossary: Adapted from the 2011 "Total Cost of Care: Balancing the Triple Aim" forum, co-sponsored by ICSI and MN Community Measurement.

Noteworthy Articles

Fostering Transparency

  • MN Community Measurement publicly reports on the quality of care delivered by of Minnesota’s clinics and hospitals, and provides information about the average cost of 88 common procedures performed in Minnesota clinics. 
  • The Dartmouth Atlas Project tracks the variations in how medical resources are used in the United States, helping us understand where the health care system is most efficient and effective. 
  • The National Quality Forum is committed to transforming our health care system to be safe, equitable, and of the highest value.

*Medicare Access and CHIP Reauthorization Act of 2015

Updated 01/23/17