Healthcare DIVE July 6, 2017
On June 20, CMS released its much-anticipated 2018 Quality Payment Program proposed rule, aimed at simplifying reporting requirements for year two of the program implementing the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and beyond.
MACRA will eliminate the sustainable growth rate formula and replace it with a 0.5% annual rate increase through 2019, after which physicians are encouraged to shift to one of two Quality Payment Programs: 1) Merit-Based Incentive Payment System (MIPS) or 2): Alternative Payment Model (APM). The new proposed rule would amend some requirements for both tracks and includes policies to increase participation.
Notably, the 2018 proposal exempts an additional 134,000 clinicians from MIPS by raising the low-volume threshold to $90,000 or less...