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The New 2017 NCQA Standards

Based on feedback from practices, policy makers, payers, and other key stakeholders, the National Committee for Quality Assurance (NCQA) has revised its PCMH Recognition program to make it more manageable, reduce paperwork, and increase practice interaction with NCQA. It also supports ongoing, sustained recognition status with annual check-in instead of the current program’s three-year recognition cycle.

The new recognition process was released to the public on April 3rd, 2017 and has three parts:

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SHIP Screen Shot

Everything You’ve Wanted to Know About SHIP…But Were Afraid to Ask

In case you need a primer on what exactly SHIP is; or in case you don’t have enough acronyms in your life, in December 2014 the Idaho Department of Health and Welfare received a State Innovation Model (SIM) grant from the Center for Medicare and Medicaid Innovation (CMMI). The grant funds a four-year Model Test that began on Feb. 1, 2015 to implement Idaho’s Statewide Healthcare Innovation Plan (SHIP).

Simply put, SHIP’s objective is to redesign the Idaho’s healthcare system to:

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Five Ways for Healthcare Providers to Get Ready for New Medicare Cards

Medicare is taking steps to remove Social Security numbers from Medicare cards. Through this initiative the Centers for Medicare & Medicaid Services (CMS) will prevent fraud, fight identity theft, and protect essential program funding and the private healthcare and financial information of our Medicare beneficiaries.

CMS will issue new Medicare cards with a new unique, randomly-assigned number called a Medicare Beneficiary Identifier (MBI) to replace the existing Social Security-based Health Insurance Claim Number (HICN) both on the cards and in various CMS systems we use now. We’ll start mailing new cards to people with Medicare benefits in April 2018. All Medicare cards will be replaced by April 2019.

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