OIG December, 2017
Background
The Medicare Access and CHIP (Children’s Health Insurance Program) Reauthorization Act of 2015 (MACRA) was enacted in April 2015 with bipartisan support. The Centers for Medicare & Medicaid Services (CMS) is implementing core provisions of MACRA as the Quality Payment
Program (QPP), a set of clinician payment reforms designed to put increased focus on the quality and value of care. The QPP is a significant shift in how Medicare calculates payment for clinicians and requires CMS to develop a complex system for measuring, reporting, and scoring the value and quality of care.
In 2016, OIG conducted an early implementation review of CMS’s management of the QPP. We found that CMS had made significant progress towards implementing the QPP, including...
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