athenahealth introduces guarantee to protect from downward payment adjustments


athenahealth introduces guarantee to protect from downward payment adjustments

Lisa S.

athenahealth, a cloud-based service provider for medical groups and health systems, has introduced a payment system to protect healthcare providers and practice from downward payment adjustments.

The Merit-Based Inventive Payment System (MIPS) guarantee is aimed specifically at protecting its clients from downward payment under the Medicare reimbursement program.

The guarantee has been introduced ahead of the Centers for Medicare and Medicaid Services’ (CMS) release of the final Medicare Access and CHIP Reauthorization Act (MACRA) rule while debate over reimbursement change and complexity has been taking place.

“At a time when nearly all providers across the US are expected to keep up with ever-changing reimbursement rules and an estimated 45 percent of those who bill Medicare Part B are facing payment cuts under the MIPS program, we’re looking to lift the burden,” said Jonathan Bush, chief executive officer of athenahealth.

“The complexity of government reimbursement is just too onerous; and, it’s not something providers or practice staff should have to master. Because of our national network, our quality management and payer rules engine, our team of experts, and our track record of client success as part of other government-run programs, we believe we can free the industry of reimbursement cuts associated with MIPS. And if we can’t, we’ll put our money where our mouth is and reimburse clients up to the penalty amount.”

athenahealth, Insurance, IT, Healthcare, Risk management, US