Health Affairs October 17, 2017
On June 20, 2017, the Centers for Medicare and Medicaid Services (CMS) released the proposed 2018 Medicare Quality Payment Program (QPP) rule. The rule addresses participation requirements for 2018 and future years under the merit-based incentive payment system (MIPS) and the advanced alternative payment model (APM) pathways created by the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015.
Although the MACRA proposed rule for 2018 considers counting participation in advanced APM arrangements in Medicare Advantage toward the advanced APM thresholds in 2019, CMS needs to recognize the full spectrum of innovation in the Medicare Advantage program and incentivize participation in a broader array of APMs.
At the same time, CMS needs to revise MIPS to better align the two...
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