CMS Responds to ACO Concerns About Smoking Cessation Quality Measure

July 16, 2019


In response to concerns voiced by Accountable Care Organizations (ACOs), the Centers for Medicare and Medicaid Services (CMS) recently announced that it will change a tobacco-use quality measure from a pay-for-performance measure to a pay-for-reporting measure. The move allows ACOs that report information on tobacco cessation efforts to receive savings instead of having their base pay tied to how well they do on the measure. CMS changed the specifications to this measure in 2018, and ACOs were concerned that the timing did not allow them sufficient lead time to prepare for this change. For Merit-Based Incentive Payment System (MIPS) Alternative Payment Model (APM) participants subject to the APM scoring standard, the measure will be excluded from 2018 MIPS performance period scoring and will not contribute to their MIPS quality performance category score.

More information on the Quality Payment Program (QPP) is available on the CMS QPP website.


For more information, visit the McDermottPlus Payment Innovation Resource Center or contact Mara McDermott at +1 202 204 1462 or

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