Healthcare DIVE June 5, 2017
Les Masterson

Dive Brief:

  • Ten groups, including the American Medical Association, the Medical Group Management Association and the American College of Surgeons, sent a letter to CMS Administrator Seema Verma requesting that Medicare Advantage (MA) be treated as an alternative payment model (APM) under MACRA starting in 2019.
  • For 2019 and 2020 payment adjustment years, current regulations say that only Medicare Fee for Service (FFS) revenue and patients will be counted in the Quality Payment Program’s Advanced APM test, the authors wrote. MA isn’t part of the program until 2021. In their May 31 letter, the groups requested that CMS include MA for the 5% Quality Payment Program bonus in 2019 and 2020 for “MA plans that meet the risk, quality...

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Topics: CMS, Health System / Hospital, MACRA, Medicare Advantage, Physician, Primary care, Provider, RCM (Revenue Cycle Mgmt)
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