American College of Radiology (ACR) leaders Ezequiel Silva III, MD, FACR, and Joshua Hirsch, MD, FACR, have been selected to co-chair subcommittees that will develop episode-based cost measures for the Centers for Medicare & Medicaid (CMS) Quality Payment Program (QPP) Cost Performance Category.
Silva has accepted an appointment to co-chair the CMS Medicare Access and CHIP Reauthorization Act (MACRA) Episode-Based Cost Measures Peripheral Vascular Disease Management Episode Group Clinical Subcommittee. Hirsch will co-chair the CMS MACRA Episode-Based Cost Measures Neuropsychiatric Disease Management Episode Group Clinical Subcommittee.
Silva is chair of the ACR Commission on Economics, member of the ACR MACRA Committee and recently was recently appointed panel member for the American Medical Association (AMA) Relative Value Update Committee (RUC). As a diagnostic and interventional radiologist in San Antonio, TX, he led his group practice to adopt successful reporting of quality programs including the Physician Quality Reporting System (PQRS) since the program’s inception in 2007. He has written numerous articles and lectured extensively on MACRA.
Hirsch is chair of the ACR Economics Committee on Economic Issues in Academic Radiology, a MACRA committee member and a neuro-interventional radiologist. In his published work, Hirsch discussed value-based medicine and its opportunities for radiologists. He has lectured on MACRA, health care policy and medical economics topics.
The clinical subcommittees will meet in Washington, DC, during the week of June 12 to begin work on a set of procedural and acute inpatient medical episode groups that are relevant to a specific clinical area. They will also refine episode code triggers — CPT or ICD-10 codes that signal new health care episodes — and will recommend which services should be included in episode group costs.