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CMS Finalizes the New Medicare Quality Payment Program

Posted on 10/14/2016 by NTOCC ®

Today, the Department of Health and Human Services (HHS) finalized its policy implementing the Merit-Based Incentive Payment System (MIPS) and the Advanced Alternative Payment Model (APM) incentive payment provisions in the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), collectively referred to as the Quality Payment Program.

Today, the Department of Health and Human Services (HHS) finalized its policy implementing the Merit-Based Incentive Payment System (MIPS) and the Advanced Alternative Payment Model (APM) incentive payment provisions in the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), collectively referred to as the Quality Payment Program.

In an effort to respond to concerns of providers and organizations, such as NTOCC, the final rule makes a number of adjustments in policy from the proposed rule, including:

·         the creation of a transition year and iterative learning and development period in the beginning of the program;

·         the adjustment of the MIPS low-volume threshold;

·         the establishment of an Advanced APM financial risk standard that promotes participation in robust, high-quality models;

·         the simplification of prior “all-or-nothing” requirements in the use of certified EHR technology; and

·         the establishment of Medical Home Model standards that promote care coordination

The new Quality Payment Program will gradually transform Medicare payments for more than 600,000 clinicians across the country by centering payments around the care that is best for the patients.  The Program also seeks to encourage better coordination of care with a reduced focus on quantity of services provided.  

More on the Quality Payment Program can be found here.

 

NTOCC staff is reviewing the final rule in detail and will be updating with more information. In the meantime, please let us know if you have any questions.