Tuesday, November 21, 2017

With a few exceptions, our laws are written by people with little to no experience in mental health. Decisions made by the 140 members of the Alabama House and Senate directly impact our patients’ lives. We can choose to not get involved hope for the best, or we can take an active role in shaping state health policy.   The Alabama Medical PAC (ALAPAC) helps elect candidates to office whom we can work with on […]

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Blue Cross and Blue Shield of Alabama (BCBS) was recently notified that the contract that currently exists between New Directions Behavioral Health®, BCBS’ behavioral health benefit manager, and Managed Health Care Administration (MHCA) will not be renewed effective Oct. 1, 2017.   MHCA’s primary functions are contracting and credentialing, claims processing, and provider payments for New Directions Behavioral Health. New Directions Behavioral Health has already begun to contract with those providers that currently have a […]

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In October 2016, the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 repealed the Medicare Part B Sustainable Growth Rate (SGR) payment system and adopted a new two-track system. MACRA’s Quality Payment Program (QPP) program is designed to streamline the Physician Quality Reporting System (PQRS), Value- Based Modifier (VM) and Meaningful Use Incentive programs into one process.   The Medical Association of the State of Alabama has partnered with the Alabama Quality Assurance Foundation […]

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The APA has released a new guide to help psychiatrists avoid potential financial penalties from Medicare’s new quality performance program, known as the Merit-based Incentive Payment System (MIPS).  The MIPS was created in the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).  It is part of Medicare’s new Quality Payment Program, along with incentives for “Advanced” Alternative Payment Models.   The MIPS program rewards or penalizes physicians for performance quality. For the current performance […]

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