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More than 1.5 million men and women were diagnosed with some form of cancer in 2010, the National Cancer Institute estimates. The treatment options for most of them probably included chemotherapy, radiation therapy and surgery. But the treatments often produce side effects including nausea, pain and fatigue. For patients, such side effects can take over daily life. They can make patients uncomfortable at best and miserable at worst sometimes affecting their ability to stick to their treatments, or making treatments less effective than they could be. Read more here.
The total cost of medical care increased 3.4 percent from 2015 to 2016 for commercially-insured patients according to a new report released by MN Community Measurement (MNCM).
The report shows an increase in average costs for commercially-insured patients per month from $474 in 2015 to $490 in 2016. Growth in 2016 was lower than the previous year (5.6 percent), but higher than the 3.1 percent growth recorded in 2014.
“Although cost growth in 2016 was moderate compared to historical averages, affordability continues to be a major concern. This problem affects just about everyone, and it is one that we must work together to solve,” said Julie Sonier, MNCM President.
“This report is one way that MN Community Measurement is bringing the power of data, measurement and transparency to the health care affordability discussion here in Minnesota,” said Sonier.
The 2017 Cost and Utilization Report provides the most current comparable and validated cost of health care information, at a level of detail that provides a unique view of health care cost and the drivers of cost in Minnesota.
The report includes several types of information on health care costs: average costs for 118 common medical procedures; the average total cost of care (TCOC); information on resource use and prices to provide insight and context for understanding variations or differences in total cost; and data on variations in utilization for specific types of services. These data are published at the statewide, regional and medical group levels.
Examples of findings in the 2017 Cost & Utilization Report include:
- Costs for common medical procedures: There is substantial variation across medical groups in the amounts that they are paid for the same procedure. For example, the amount that providers are paid for an ankle X-ray averages $72, but ranges from $26 to $201. Similarly, the average payment for reading an eye chart was $6 in 2016, but ranged from $4 to $46 across different medical groups.
- Total Cost of Care: Across the 122 medical groups included in this report, TCOC averaged $490 in 2016, with a range of $386 to $977 per patient per month on a risk adjusted basis. TCOC for men is lower than TCOC for women and lower for children than adults.
- Resource use and price: Across medical groups, the analysis finds about a 70 percent variation in resource use and 90 percent variation in price, after accounting for patient risk.
- Utilization of services: Analysis of emergency room use shows a three-fold difference in use after adjusting for patient illness.
“Better understanding of how much variation we have in our medical care system and what factors contribute to the variation is a starting point for strategies to make health care more affordable,” said Sonier. “The measures in this report provide unique insight for comparing and taking actions to manage and reduce health care costs.”
The report uses data from 2016 health insurance claims of more than 1.5 million commercially-insured patients (i.e. those with private health insurance, both individual and employer-sponsored) enrolled with four Minnesota health plans: Blue Cross and Blue Shield of Minnesota, HealthPartners, Medica and PreferredOne.
In addition to this report, MNCM publishes total cost of care and the average cost of 118 common medical procedures by medical group level on its consumer-oriented website, MNHealthScores.org.
View the current and previous MNCM cost of care reports here.
The role of measurement in overcoming health disparities, with insight from MN Community Measurement (MNCM), was the featured topic during the November 6, 2017 edition of Community Health Dialogues, a radio program on KMOJ FM.
Julie Sonier, President of MNCM, was joined by Gaye Adams Massey Co-Chair of the MNCM Health Equity Advisory Council (HEAC) and Anne Snowden Director of Performance Measurement & Reporting at MNCM.
Want to hear the Community Health Dialogues program again? Click here to listen to the entire conversation.
The weekly radio program is hosted by Clarence Jones. Jones participated at the MNCM Annual Seminar 2017 and spoke about the Clippers ‘N Curls program to reduce incidents of heart attack and stroke in the African American population. Jones invited MNCM to continue the panel discussion, titled In Pursuit of Health Equity, from the seminar, onto the air waves and directly with KMOJ listeners.
“There are so many things that impact good health,” said Adams Massey. She shared her insight as both the co-chair of the HEAC and also as CEO of the YWCA of Saint Paul.
The discussion touched on the importance of collecting health data in efforts to reduce health disparities. Definitions of health equity were shared, as well as the methods used to collect quality measurement data and the usefulness of this information in helping providers and patients to overcome barriers.
“This data is about getting Minnesota healthier,” said Sonier. MNCM works to not only collect the data, added Sonier, but also to disseminate it so that the public and health care professionals can better understand the result and take action based on the results.
The three panelists invited listeners to think of health broadly, more than doctors and nurses. The data, they added, is a tool to help come up with solutions to health disparities.
Sonier ended the program with an invitation for KMOJ listeners to visit MNHealthScores.org and to think of other ways that MNCM could work with community groups to reduce health disparities though quality measurement data.
In addition to the weekly radio program, Jones is outreach director of Southside Community Health Services and Q Health Connections which works with community partners to offer free, weekly blood pressure screenings.
A second webinar on the new Merit-based Incentive Payment System under Medicare’s Quality Payment Program was recently hosted and recorded by MN Community Measurement. This insightful and brief webinar has been posted online for viewing and review. The webinar informs viewers that measures need to be submitted according to specific timelines noted in the webinar to ensure successful submission by the CMS deadline of March 31, 2018. The webinar is available at this link under the Learn More section. MNCM encourages those interested to check back at this link periodically as the page will be updated with new and helpful definitions, links, future webinars and other useful information.
The MNCM Data Portal is now open for 2018 Annual Clinic and Provider Registration. Clinics that have not previously registered with MNCM must complete clinic and provider registration. Clinics that have previously registered with MNCM must update their information. All eligible clinics and providers are required to register annually whether or not they would be required to submit data for clinical measures.
The Annual Clinic and Provider Registration Instructions document provides the directions needed to complete registration to be in compliance with the Statewide Quality Reporting and Measurement System (SQRMS) mandate. You can download this guide from the MNCM Data Portal or from MNCM.org.
The deadline for completing registration is Friday, February 9, 2018.
PLEASE NOTE: Medical groups will not be able to submit data in 2018 until registration is completed.
A recorded webinar on the topic of Annual Clinic and Provider Registration as well as clinical data submission requirements for 2018 is available for viewing at your convenience. The recording link and presentation slides can be found on the MNCM Data Portal and MNCM.org.
The MNCM Data Portal has functionality to allow the registration of additional provider types that are not required to register under SQRMS. These providers can also be registered in the Data Portal during Annual Clinic and Provider Registration. Groups interested in taking advantage of this additional provider registration functionality should review the Addendum of the Annual Clinic and Provider Registration Instructions. For further questions please contact MNCM at 612-746-4522 or email@example.com.
MN Community Measurement is pleased to announce Kevin Croston, MD as its newest board member. J. Kevin Croston is the chief executive officer (CEO) of North Memorial Health. Dr. Croston has been with the healthcare system since 1993 when he became surgical director of trauma at North Memorial Medical Center which, under Dr. Croston, became a Level I Trauma Center in 1998. He was appointed to the Board of Trustees for the health system in 2007 where he served until becoming the president of physician services and chief medical officer in 2010.
A board-certified surgeon and fellow of the American College of Surgeons, Dr. Croston studied at the University of South Dakota School of Medicine and completed his surgical residency at Hennepin County Medical Center. He continues in his surgical practice at North Memorial Health in collaboration with Specialists in General Surgery, Ltd. and has been named one of the regions’ “Top Doctors” through a survey of doctors and nurses conducted by Minneapolis/St Paul Magazine every year since 2006.
MN Community Measurement can support Virtual Groups for the 2018 MIPS Performance Year (2019 submission). Virtual Groups are comprised of solo practitioners and groups of ten or fewer eligible clinicians who come together virtually to submit for MIPS. Participants in virtual groups must coordinate with their fellow practitioners and register with CMS by December 31, 2017. Please note, providers cannot change their status once the performance period begins. Please see the CMS website for more information and how to register at qpp.cms.gov.
The Minnesota Department of Health (MDH) has published its proposed update to the Statewide Quality Reporting and Measurement System (SQRMS) for reporting during 2018. The publication of the annual update in the State Register on October 23, 1017, initiated a 30-day comment period. The public comment period closes at 4:30 p.m. on November 22, 2017.
In addition to limits on the number of measures that MDH can require through SQRMS, the proposed Annual Quality Rule Updates would restrict MDH from requiring physician clinics and hospitals to use a vendor to administer or collect data to meet SQRMS requirements. This means that MDH could no longer require clinics to report the patient experience measures as part of SQRMS. MNCM currently collects and publishes these data every other year as part of our contract with MDH.
With the loss of this very important component of the Triple Aim reporting, MNCM is exploring community interest in voluntary patient experience survey submission in 2018.
Visit Annual Quality Rule Update for a summary of proposed changes. Interested persons or groups may submit comments or questions to the Minnesota Department of Health at firstname.lastname@example.org.
MN Community Measurement (MNCM) will be hosting a webinar on Wednesday, October 25 at 10:00 a.m. The topic will be a second and new discussion of the upcoming Merit-based Incentive Payment System (MIPS) under the Quality Payment Program (QPP).
With MIPS fast approaching, MNCM continues its webinar series on MIPS and the Qualified Clinical Data Registry (QCDR). This time focusing on timelines, pricing and some essential considerations prior to making measure selections. Now is the time to ask questions, seek answers and prepare for MIPS and specifically the QPP. Whether your medical group is new to quality reporting or participated in PQRS previously, you are encouraged to join this MNCM webinar.
The webinar is free. Those wishing to participate can visit this link to attend. Please save this link to join the webinar at 10:00 a.m. on October 25.
To view the initial MNCM webinar on MIPS/QPP, or for additional details and background on MIPS, QPP or the MNCM QCDR registry services, click this link.
By joining MNCM as a Supporting Member, your organization will help further the improvement of health through measurement and public reporting. You’ll be joining many other forward thinking Supporting Member organizations.
MNCM began with an idea to report on diabetes performance at a handful of medical groups and has transformed into the primary trusted source for health data sharing and measurement in Minnesota and nationally.
Accelerating the improvement of health and catalyzing our community requires foresight. With your support, MNCM will continue to convene key stakeholders to evaluate, discuss and achieve consensus on the procedures, conditions and types of care sites that require measurement to ensure the level of highest quality and safety are being achieved.
MNCM efforts to find even more alignment with national and local measurements is being recognized. In a recent survey of MNCM medical group stakeholders, nearly two-thirds of respondents felt that MNCM measures were “well-aligned/aligned” locally and nationally.
Join MNCM today! Become a Supporting Member.
Your annual contribution will support this critical work, as well as provide you with:
• Notification of applicable board and committee openings
• Opportunities to network with MNCM leaders and other members who are passionate about health and health care quality
• Notification of measure development workgroup participation and other feedback opportunities
• Recognition on MNCM.org and subscription to our monthly e-newsletter
With the help of Supporting Members like you, MNCM will continue to bring individuals and organizations together to improve the health of our community.
And since MNCM is a 501(c)(3) non-profit, your organizations contribution may be tax deductible.
For more information, please contact Brian Strub at email@example.com or 612-454-4827.
In August 2016, MNCM’s Measurement and Reporting Committee approved recommendations that further align the Childhood Immunization Status HEDIS measure with CMS’s Merit-Based Incentive Payment System (MIPS) requirements.
In the 2017 report year, MNCM will report the Childhood Immunization Status Combo 10 measure. The Childhood Immunization Status measure evaluates children’s vaccination status, as of their second birthday. Evidence and national consensus support the recommendation for children to receive all vaccines encompassed in the HEDIS Childhood Immunization Combo 10 measure. Currently, MNCM reports results for the Childhood Immunization Status Combo 3 measure. Three additional vaccines are included in Combo 10: Hepatitis A, Rotavirus, and influenza, all of which are included in state and national preventive care guidelines, both from ICSI and the USPSTF.
In the 2018 report year, MNCM will report the Immunizations for Adolescents Combo 2 measure. The Immunization for Adolescents measure evaluates adolescents’ vaccination status, as of their thirteen birthday. Evidence and national consensus support the recommendation for adolescents to receive all vaccines encompassed in the HEDIS Immunization for Adolescents Combo 2 measure. Currently, MNCM reports the Immunization for Adolescents Combo 1 measure. In the 2017 report year, the National Committee for Quality Assurance (NCQA) will introduce Combo 2 for this measure – an update that will include the HPV vaccine for males and females. In the 2018 report year, NCQA has updated their specifications for this measure to reflect the most recent guidelines for HPV vaccine, namely, children aged 11-12 receiving two doses, instead of the previously recommended three doses. The addition of the HPV vaccine is supported by state and national preventive care guidelines. With recent changes in recommendations by the US Preventive Services Task Forces (USPSTF) and NCQA’s recent update of the measure, reporting this measure as a Combo 2 allows MNCM to be completely aligned with national and local guidelines.
MNCM welcomed new Chief Operating Officer Liz Cinqueonce to the staff in October. Cinqueonce has more than 20 years of experience in organizational management, health policy and government affairs.
Prior to MNCM, Cinqueonce served as Executive Director of Southern Prairie Community Care, a 12-county joint powers organization that operates a Minnesota Integrated Health Partnership focused on improving quality and managing total cost of care for more than 28,000 enrollees in Minnesota Health Care Programs; and a State-certified Health Information Organization marketed statewide as CareTrac.
She previously served as executive vice president of the Minnesota Pharmacists Association after years of service as vice president of public affairs. Her experience includes five years in state government management, including positions in the Office of Health Information Technology and the Health Economics Program at the Minnesota Department of Health and in the Performance Management and Quality Improvement Division at the Minnesota Department of Human Services.
Cinqueonce succeeds Tina Frontera in the COO role. Frontera, will continue at MNCM as a Senior Consultant until her retirement at the conclusion of 2017.