MACRA Quality Payment Program Final Rule: Implications for 2018 and Beyond

Lexology November 29, 2017
Sheppard Mullin Richter & Hampton LLP

On November 2, 2017, CMS published its final rule (the “Final Rule”) on the 2018 Quality Payment Program (“QPP”), authorized by the Medicare Access and CHIP Reauthorization Act of 2015 (“MACRA”). This final rule adopted many of the proposals put forward by CMS in its June 2017 proposed rule, summarized here. But the final rule is not merely a rehash of the proposed rule, and there are several features that may have important implications that should be on practitioners’ immediate radar. These include:

• Practitioners’ 2018 performance (which will affect payment in 2020) will be evaluated not only as to quality, advancing care information, and practice improvement activities (the measurement areas for 2017), but also as to cost. Cost has...

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