Former AANA President Quintana to Serve on MACRA Cost Measures Technical Experts Panel

  • Nov 22, 2016

For Immediate Release:  November 22, 2016
For more information, contact: AANA Public Relations

Park Ridge, Illinois - Former AANA President Juan Quintana, DNP, MHS, CRNA, has been selected to serve on the Episode-Based Cost Measures Technical Experts Panel (TEP) that will develop care episode and patient condition groups for use in cost measures to meet the requirements of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).

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Formation of the TEP was announced on Nov. 19 by Acumen, LLC, which has been contracted by the Centers for Medicare & Medicaid Services (CMS) to undertake this project.

Quintana was informed of his selection by Acumen, which stated a goal of achieving a “balanced and diverse TEP composition.” The company’s TEP support team told Quintana, “We believe that your perspective, experience, and expertise would provide valuable input to the development of episode-based cost measures and we would greatly appreciate your participation in the TEP.” Quintana was the fiscal year 2016 AANA president, and is currently president of Texas-based Sleepy Anesthesia.

The TEP’s overall objective is to develop episode-based cost measures for the cost performance category of the Merit-Based Incentive Payment Program (MIPS), one of four categories that make up the total score for performance on the MIPS. As CMS continues to develop the cost performance category, it has chosen not to count this category for 2017, the first performance year, but will count it for 2018 and beyond. The cost performance category compares resources used to treat similar care episodes and clinical condition groups across practices. These episode-based cost measures will be reported on provider claims that will be used to attribute patients and episodes to clinicians as part of the cost performance category. Therefore, it is vital that episode-based cost measures account for the true cost of furnishing anesthesia care services.

CMS will rely on the TEP to provide input on claims assignments for procedural and acute condition episode groups and on concepts relating to the development of episode-based cost measures.

Published information on the TEP is available on CMS.gov.

See the AANA’s previous comments to the Medicare agency on episode-based cost measures from August 25, 2016 and August 15, 2016. (Member login required).

Also see the AANA’s comments on the MACRA proposed rule. (Member login required).

The TEP will meet in Washington, D.C., on Dec. 19, 2016.

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