OIG Releases Report on MACRA Early Implementation Efforts

The Office of the Inspector General (OIG) recently released a report on the results from an early implementation review of the Medicare agency’s management of the Quality Payment Program (QPP). The OIG reported that as of December 2016, CMS had finalized key policies and engaged in a number of activities related to the implementation of the QPP including:

  • Issuing final MACRA regulations
  • Identifying Medicare models that qualify as Advanced Alternative Payment Models (APMs) for the first performance period
  • Engaging and conducting outreach activities to clinicians
  • Launching a public-facing informational website
  • Awarding various contracts for technical assistance and training

The OIG concluded, while CMS has made significant progress towards implementing the QPP, two vulnerabilities are critical for CMS to address in 2017:

  • Providing sufficient guidance and technical assistance to ensure that clinicians are readytoparticipateintheQPP
    • In particular, the OIG highlighted the need for CMS to reach out to solo, small-practice and rural providers to ensure that they have the information and tools they need to participate in the QPP
  • Developing IT systems to support data reporting, scoring, and payment adjustment
    • In particular, the OIG highlighted the need for CMS to build and test the backend systems necessary to fully support the QPP

The report can be downloaded from here.

The QPP was established by CMS to implement the MACRA statute. The QPP has two pathways for Eligible Clinicians participating in Medicare Part B: Advanced APMs or the Merit-based Incentive Payment System. Visit the QPP website for more information.


More information on MACRA can be found at the McDermottPlus MACRA Resource Center.