HFMA December 5, 2017
THE RECENT UPDATES TO THE QUALITY PAYMENT PROGRAM (QPP) UNDER THE MEDICARE ACCESS AND CHIP REAUTHORIZATION ACT (MACRA) HAVE IMPORTANT IMPLICATIONS FOR BOTH PHYSICIANS AND HOSPITALS AND THEREFORE REQUIRE CAREFUL ATTENTION FROM BOTH THESE STAKEHOLDER GROUPS.
The Centers for Medicare & Medicaid Services (CMS) issued the 2018 updates to the QPP on Nov. 2, 2017. The program includes both tracks of MACRA: The Merit-based Incentive Payment System (MIPS) and the advanced alternative payment models (APMs). Although the QPP affects only physicians’ Medicare Part B payments, understanding the 2018 QPP changes, and MACRA in general, is an important matter for hospitals for two reasons. First, a portion of hospital revenue will likely be affected by MACRA. Second, the success of hospitals...