News & Updates: October 2022
Action Needed: Congress has not yet addressed Medicare Payment Cuts to Physicians
Medicare payments to physicians are scheduled to be reduced by 8.42% effective 01/01/2023 if Congress does not intervene. If your practice has any commercial contracts with rates set at a percentage of current rate Medicare, those rates will also go down. Click here to use the AAOS Advocacy Center tool to contact your legislators today.
BPCI Advanced Model Extension for Two Years (2024-2025) and Changes for Model Year 6 (2023)
CMS has announced that the BPCI Advanced Model will be extended for two years through December 31, 2025. The two-year extension will include a new application opportunity for Model Year 7 (2024) for new entrants as well as Episode Initiators who previously participated, but are no longer active. Participants active during Model Year 6 (2023) will be able to continue participation by signing an Amended and Restated participation agreement.
 
The following changes will be implemented in Model Year 6 (2023):
  • Reducing the CMS Discount for medical Clinical Episodes from 3% to 2%.
  • Reducing the Peer Group Trend Factor Adjustment cap for all Clinical Episodes from 10% to 5%.
  • Making major joint replacement of the upper extremity a multi-setting Clinical Episode category by including outpatient total shoulder arthroplasty procedures (triggered by Healthcare Common Procedure Coding System 23472) in the model. CMS will also include a trauma/fracture flag and Major Joint Replacement of the Upper Extremity procedure group flag along with their interactions in the risk adjustment for this Clinical Episode.
  • Holding participants accountable for all Clinical Episodes in which the beneficiary has a COVID-19 diagnosis during the Clinical Episode.
 
Additional Resources:
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Leadership Book Nook
Quiet: The Power of Introverts in a World That Can't Stop Talking
by Susan Cain
“There's zero correlation between being the best talker and having the best ideas.”
 
As an introvert, I have had this book on my list for a few years, and finally carved out time for it this summer. Susan Cain’s insights about the power of introversion helped to reframe some of my thinking about being an introvert AND being a good leader. The book highlights strengths of introverts at work, and calls into question the dominant thinking that extroversion is the only way to achieve success.
 
Cain states that the qualities of extroversion are deemed to be "ideal characteristics in both work and life”, and being an introvert can be deemed less than ideal in the context of leading others. She provides a “manifesto” that includes guidance for introverts looking to own their capacity for deep thinking and close relationships.
 
Cain reminds the reader that “quiet leadership' is not an oxymoron and encourages introverts to stay true to their temperament at work and home. She offers a 30 day program on her website called “Quiet at Work” for introverts looking to be more successful at work, and for extroverts to understand how introverts can best contribute as individual and team contributors.
Summary submitted by:
Erika Noll, COO
Peachtree Orthopedics | Atlanta, GA
Have a Book that was Meaningful to your Professional Journey?
 
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What's A Dress Code Anyway?
The dramatic shift in remote work over the past few years has further blurred lines that were already fading to delineate appropriate work attire. New entrants to the workforce may have never been exposed to the once-standard terms “professional dress attire” or even “business casual”. Employers can no longer assume those terms will be meaningful to all employees. We’ve compiled some resources to help you decide the best way to communicate your expectations to employees working in your practices or representing your practice at outside meetings. Consider including pictures to clearly illustrate what clothing items are acceptable and should be avoided. 
 
Resources:
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Learn On Your Schedule
Replay Past Webinars in our Webinar Archive!
Past Webinars Include: 
  • ​Lunch, Laugh, Learn & Lead featuring ​comedian Robert Mac!
  • Replay AI in MSK Care Delivery: Potential vs Risk
  • Marketing, Social Media, & The Physician Practice: Legal Implications
  • Physician Financial Relationships & Conflict of Interest Policies
  • Online Patient Journey & the Physician Practice Part 1: Reputation Management
  • BRACE YOURSELF with Compliance Tools for Medicare’s new DME Requirements
  • Making MIPS Work for Orthopaedics
  • ​Short-staffed. Short-tempered. Short-timer.
  • And more!
Member Benefit: Discover OrthoEvidence
Our members receive complimentary access to OrthoEvidence (OE), which is the global online source for high quality and timely orthopaedic-only evidence-based summaries, pre-appraised by orthopaedic medical experts.
Thank You To Our Corporate Partner:
South Carolina Orthopaedic Association www.scoanet.org
844-234-7800