Healthcare DIVE July 2, 2018
Les Masterson

Dive Brief:

  • CMS proposed a Medicare Advantage demonstration that would allow clinicians to sidestep Merit-Based Incentive Payment System (MIPS) requirements for those who participate “sufficiently” in certain risk-based MA plans.
  • The Medicare Advantage Qualifying Payment Arrangement Incentive (MAQI) would offer another choice to providers, who have said there aren’t enough alternative payment method (APM) options to avoid MIPS requirements.
  • The agency is seeking public comment on the proposal and asking providers about potential burdens connected to the demonstration.
Dive Insight:

The CMS said MA plans create arrangements that are similar to Advanced APMs, but clinicians still face MIPS “even if they participate extensively in Advanced APM-like arrangements under Medicare Advantage.” The...

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Topics: CMS, Govt Agencies, Health System / Hospital, Insurance, MACRA, Medicare Advantage, Payment Models, Physician, Primary care, Provider
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