Tag: QPP
The Centers for Medicare and Medicaid Services (CMS) uploaded new and updated materials to the Quality Payment Program (QPP) Resource Library:
The Centers for Medicare and Medicaid Services (CMS) uploaded new and updated materials to the Quality Payment Program (QPP) Resource Library:
The Centers for Medicare and Medicaid Services (CMS) uploaded new and updated materials to the Quality Payment Program (QPP) Resource Library:
The Centers for Medicare and Medicaid Services (CMS) uploaded new and updated materials to the Quality Payment Program (QPP) Resource Library:
The Centers for Medicare and Medicaid Services (CMS) uploaded new and updated materials to the Quality Payment Program (QPP) Resource Library:
The Centers for Medicare and Medicaid Services (CMS) uploaded new and updated materials to the Quality Payment Program (QPP) Resource Library:
As part of the ongoing White House Coronavirus Task Force efforts, the Centers for Medicare and Medicaid Services (CMS) and other agencies have issued several resource documents, refocused activities related to state survey agencies and accrediting o...
In a letter to clinicians, the Centers for Medicare & Medicaid Services (CMS) encouraged clinicians who participate in the Quality Payment Program (QPP) to contribute to scientific research and evidence through clinical trials to help fight the C...
The Centers for Medicare and Medicaid Services (CMS) uploaded new and updated materials to the Quality Payment Program (QPP) Resource Library:
The Centers for Medicare and Medicaid Services (CMS) uploaded new and updated materials to the Quality Payment Program (QPP) Resource Library:
The Centers for Medicare and Medicaid Services (CMS) uploaded new and updated materials to the Quality Payment Program (QPP) Resource Library:
The Centers for Medicare and Medicaid Services (CMS) uploaded new and updated materials to the Quality Payment Program (QPP) Resource Library:
The Centers for Medicare and Medicaid Services (CMS) uploaded new and updated materials to the Quality Payment Program (QPP) Resource Library:
On March 23, 2020, the Centers for Medicare and Medicaid Services (CMS) extended the deadline for clinicians to submit data for the 2019 performance year of the Merit-based Incentive Payment System (MIPS). The deadline has been extended from March 31...
The Centers for Medicare and Medicaid Services (CMS) uploaded new and updated materials to the Quality Payment Program (QPP) Resource Library:
The Centers for Medicare and Medicaid Services (CMS) uploaded new and updated materials to the Quality Payment Program (QPP) Resource Library:
The Centers for Medicare and Medicaid Services (CMS) uploaded new and updated materials to the Quality Payment Program (QPP) Resource Library:
The Centers for Medicare and Medicaid Services (CMS) uploaded new materials to the Quality Payment Program (QPP) Resource Library:
The deadline for eligible clinicians to submit 2019 performance year data for the Merit-based Incentive Payment System (MIPS) is March 31 at 8:00 PM (EDT). All MIPS data must be submitted through the Quality Payment Program (QPP) website using a clin...
The Centers for Medicare and Medicaid Services (CMS) is currently accepting submissions for new measures to be included in the Merit-based Incentive Payment System (MIPS) Promoting Interoperability and Improvement Activities performance categories. T...
The Centers for Medicare and Medicaid Services (CMS) scheduled a webinar to provide an overview of the Merit-based Incentive Payment System (MIPS) Value Pathways (MVPs) participation framework. This webinar will summarize the MVP framework, discuss t...
The Centers for Medicare and Medicaid Services (CMS) uploaded new materials to the Quality Payment Program (QPP) Resource Library:
The Centers for Medicare and Medicaid Services (CMS) uploaded new materials to the Quality Payment Program (QPP) Resource Library:
The Centers for Medicare and Medicaid Services (CMS) uploaded new materials to the Quality Payment Program (QPP) Resource Library:
The Centers for Medicare and Medicaid Services (CMS) scheduled a webinar to provide an overview of the 2020 Merit-based Incentive Payment System (MIPS) performance year. The agency is scheduled to discuss the basics of the Quality Payment Program (QP...
The Centers for Medicare and Medicaid Services (CMS) uploaded new materials to the Quality Payment Program (QPP) Resource Library:
2020 MIPS Eligibility Data Now Available The Centers for Medicare and Medicaid Services (CMS) have updated the Quality Payment Program Participation Status Lookup Tool to include initial provider eligibility status for the 2020 performance ye...
The Centers for Medicare and Medicaid Services (CMS) released the final 2018 Quality Payment Program (QPP) performance results for the Merit-based Incentive Payment System (MIPS) which impacts 2020 payments. The findings are summarized in a blog post...
Clinicians who participated in the Merit-based Incentive Payment System (MIPS) during the 2019 performance year can now submit data through March 31, 2020. The Centers for Medicare and Medicaid Services (CMS) has opened the portal on the Quality Paym...
The Centers for Medicare and Medicaid Services (CMS) is accepting recommendations for new specialty specific measure sets, or adjustments to existing measure sets for 2021 performance year of the Merit-based Incentive Payment Program (MIPS). Recommen...
The Centers for Medicare and Medicaid Services (CMS) uploaded new materials to the Quality Payment Program (QPP) Resource Library:
The Centers for Medicare and Medicaid Services (CMS) uploaded new materials to the Quality Payment Program (QPP) Resource Library:
The Centers for Medicare and Medicaid Services has published a portal for clinicians to check their eligibility status for participation in the Merit-based Incentive Payment System (MIPS). Clinicians can enter their National Provider Identifier in th...
The Centers for Medicare and Medicaid Services (CMS) uploaded new materials to the Quality Payment Program (QPP) Resource Library:
The Centers for Medicare and Medicaid Services (CMS) uploaded new materials to the Quality Payment Program (QPP) Resource Library:
The Centers for Medicare and Medicaid Services (CMS) uploaded new materials to the Quality Payment Program (QPP) Resource Library:
This resource ans...
The Centers for Medicare and Medicaid Services (CMS) will be hosting a webinar on Tuesday, November 19 from 2:00 to 3:30 PM (ET) where they will review major changes to the Quality Payment Program (QPP) in the CY 2020 final rule. The webinar will als...
On November 1, 2019, the Centers for Medicare & Medicaid Services (CMS) released CY 2020 Revisions to Payment Policies under the Physician Fee Schedule and Other Changes to Part B Payment Policies [CMS-1715-F and IFC], which includes changes rela...
The Centers for Medicare and Medicaid Services (CMS) uploaded new materials to the Quality Payment Program (QPP) Resource Library:
On November 1, 2019, the Centers for Medicare and Medicaid Services (CMS) published the CY 2020 final rules for the Medicare Physician Fee Schedule (PFS), Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgery Center (ASC) Payme...
The Centers for Medicare and Medicaid Services (CMS) uploaded new materials to the Quality Payment Program (QPP) Resource Library:
The Centers for Medicare and Medicaid Services (CMS) uploaded new materials to the Quality Payment Program (QPP) Resource Library:
Finalized in the CY 2018 Quality Payment Program (QPP), the Centers for Medicare and Medicaid Services (CMS) established a new protocol for quality measures impacted by changes in ICD-10 coding. This new protocol went into effect on October 1, 2019. ...
The Centers for Medicare and Medicaid Services (CMS) announced that they have begun distribution of the 2019 Advanced Alternative Payment Model (APM) bonuses. The Advanced APM pathway of the CMS Quality Payment Program lets clinicians earn rewards fo...
The Centers for Medicare and Medicaid Services (CMS) uploaded new materials to the Quality Payment Program (QPP) Resource Library:
The Centers for Medicare and Medicaid Services (CMS) uploaded new materials to the Quality Payment Program (QPP) Resource Library:
The Centers for Medicare and Medicaid Services (CMS) is hosting a webinar to discuss the Merit-based Incentive Payment System (MIPS) Value Pathways (MVPs) proposed in a CMS Request for Information (RFI) appearing in the 2020 Medicare Physician Fee Sc...
The Centers for Medicare and Medicaid Services (CMS) uploaded new materials to the Quality Payment Program (QPP) Resource Library:
The Centers for Medicare and Medicaid Services (CMS) uploaded new materials to the Quality Payment Program (QPP) Resource Library:
This document provides an ov...
The Centers for Medicare and Medicaid Services (CMS) uploaded new materials to the Quality Payment Program (QPP) Resource Library:
This document provides ...
The Centers for Medicare and Medicaid Services (CMS) has contracted with Acumen, LLC to develop episode-based cost measures for potential use in the cost performance category of the Merit-based Incentive Payment System (MIPS). Acumen, LLC will host ...
The Centers for Medicare and Medicaid Services (CMS) uploaded new materials to the Quality Payment Program (QPP) Resource Library:
This document expl...
The Centers for Medicare and Medicaid Services (CMS) will host a series of webinars on recently released payment and quality regulations.
The Centers for Medicare and Medicaid Services (CMS) uploaded new materials to the Quality Payment Program (QPP) Resource Library:
This resource is a ...
On July 12, 2019, the Centers for Medicare and Medicaid Services (CMS) published a blog post and infographic to share preliminary participation data for the Quality Payment Program during 2018. Merit-Based Incentive Payment System (MIPS) payment adju...
As the 2020 Merit-Based Incentive Payment System (MIPS) Performance Period Self-Nomination period is underway, CMS will host a 2020 Self-Nomination Application Virtual Office Hours. The purpose of this session is to give attendees the opportunity to ...
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-reporti...
The Centers for Medicare and Medicaid Services (CMS) uploaded new materials to the Quality Payment Program (QPP) Resource Library:
Contains...
The Centers for Medicare and Medicaid Services is currently accepting nominations for a technical expert panel (TEP) to develop, reevaluate and maintain behavioral health measures used in the Inpatient Psychiatric Facility Quality Reporting program, ...
The Centers for Medicare and Medicaid Services (CMS) uploaded new materials to the Quality Payment Program (QPP) Resource Library:
Describes how to check your Q...
On May 31, 2019, the Centers for Medicare and Medicaid Services (CMS) posted the 2019 Quality Measure Development Plan (MDP) Annual Report, which describes progress in developing clinician quality measures to support the Quality Payment Program (QPP)...
The Centers for Medicare and Medicaid Services (CMS) uploaded new materials to the Quality Payment Program (QPP) Resource Library:
Lists the 2019 criteria use...
The Centers for Medicare and Medicaid Services (CMS) uploaded new materials to the Quality Payment Program (QPP) Resource Library:
...
The Centers for Medicare and Medicaid Services (CMS) uploaded new materials to the Quality Payment Program (QPP) Resource Library:
Provides details about t...
Advanced Alternative Payment Model (APM) entities can download a list of their clinicians through the Quality Payment Lookup Tool. The QPP Lookup Tool supports the Shared Savings Program, Next Generation Accountable Care Organizations and Comprehensi...
The Centers for Medicare and Medicaid Services (CMS) will host a webinar on Thursday, May 9 from 2 to 3 pm ET to provide an overview of Advanced Alternative Payment Models (APMs), one of the two tracks of the Quality Payment Program. CMS subject mat...
The Centers for Medicare and Medicaid Services (CMS) uploaded new resources to the Quality Payment Program (QPP) Resource Library:
Outline of group participa...
The Centers for Medicare and Medicaid Services (CMS) is hosting a webinar on April 24 at 2 pm ET to provide an overview of the Merit-based Incentive Payment System Alternative Payment Models, or MIPS APMs, a type of APM in the Quality Payment Program...
The Centers for Medicare and Medicaid Services (CMS) uploaded new resources to the Quality Payment Program (QPP) Resource Library:
Facility-based Measurement The Centers for Medicare and Medicaid Services (CMS) is hosting a webinar on April 18 from 1 to 2 pm ET to provide information about facility-based measurement for the Merit-based Incentive Payment System (MIPS) in ...
The data submission period for the 2018 Merit-based Incentive Payment System (MIPS) closed on April 2, 2019. The Centers for Medicare and Medicaid Services (CMS) is currently reviewing all submitted data. If data was submitted through the Quality Pay...
Registration is now open for groups and virtual groups that intend to use the CMS Web Interface or administer the Consumer Assessment of Healthcare Providers and Systems (CAHPS) for Merit-based Incentive Payment System (MIPS) Survey for 2019. Groups ...
The Centers for Medicare and Medicaid Services (CMS) uploaded new resources to the Quality Payment Program (QPP) Resource Library:
List of survey vendors ...
2019 is the first year that Quality Payment Program (QPP) performance information will be publicly reported, and many stakeholders have asked the Centers for Medicare and Medicaid Services for additional time to review their data before it is publicl...
The Centers for Medicare and Medicaid Services (CMS) uploaded new resources to the Quality Payment Program (QPP) Resource Library:
Provides a...
The Centers for Medicare and Medicaid Services (CMS) uploaded the 2019 Consumer Assessment of Healthcare Providers and Systems (CAHPS) for the Merit-based Incentive Payment System (MIPS) Survey Vendor materials to the Quality Payment Program (QPP) Re...
The Centers for Medicare and Medicaid Services (CMS) uploaded new resources to the Quality Payment Program (QPP) Resource Library:
Provides answe...
On February 9, 2018, Congress passed the Bipartisan Budget Act of 2018, which contained provisions that made several changes to the Merit-based Incentive Payment System (MIPS) track of the Quality Payment Program (QPP). Changes included limiting the ...
Clinicians can now check the Quality Payment Program (QPP) Participation Status Tool to view their 2019 Merit-based Incentive Payment System (MIPS) eligibility status for the 2019 performance period. 2019 MIPS eligibility status is determined by rev...
The Centers for Medicare and Medicaid Services (CMS) will host a webinar on February 21 at 2 pm EST to provide a basic overview of Alternative Payment Models (APMs) for the 2019 Performance Year of the Quality Payment Program. Topics will include: <...
On February 4, 2019, the American Medical Group Association, submitted a letter to Speaker Nancy Pelosi recommending the elimination of exclusions from the Merit-based Incentive Payment System (MIPS) that exempt more than half of eligible clinicians....
The Centers for Medicare and Medicaid Services (CMS) is soliciting recommendations on new measure sets for the quality performance category and/or revisions to existing specialty measure sets for the quality performance category for program year 2020...
The Centers for Medicare and Medicaid Services (CMS) will host a webinar on January 24, from 1 to 2 pm EST, on the Merit-based Incentive Payment System (MIPS) for the 2019 Performance Year (Year 3) of the Quality Payment Program (QPP). CMS subject m...
Eligible clinicians can check the Quality Payment Program (QPP) Participation Status Tool to view their 2018 Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Model (APM) Qualified Participant (QP) status. The tool has been...
The Centers for Medicare and Medicaid Services (CMS) officially opened the data submission period for Merit-based Incentive Payment System (MIPS) eligible clinicians who participated in Year 2 (2018) of the Quality Payment Program (QPP). In general,...
As 2018 comes to a close, we are approaching key deadlines for the Quality Payment Program (QPP). December 31, 2018
The Centers for Medicare and Medicaid Services (CMS) will host a webinar on January 15, 2019 from 1 to 2 pm EST providing an in-depth review of the Preventive Care and Screening electronic clinical quality measures (eCQMs). CMS has transitione...
The Centers for Medicare and Medicaid Services (CMS) has updated the Quality Payment Program (QPP) Resource Library with new resources:
On November 8, 2018, the Centers for Medicare and Medicaid Services (CMS) announced that 93 percent of Merit-based Incentive Payment System (MIPS) eligible clinicians will receive a positive MIPS payment adjustment in 2019 based on their performance ...
The Centers for Medicare and Medicaid Services (CMS) has uploaded a number of new resources to the Quality Payment Program (QPP) Resource Library:
The Centers for Medicare and Medicaid Services (CMS) will host a webinar on November 19, 2018 from 2 to 3:30 pm ET on the Medicare Physician Fee Schedule (PFS) Final Rule. During this call, CMS ex...
The Centers for Medicare and Medicaid Services (CMS) updated its Quality Payment Program (QPP) participation status tool to include calculations from the second snapshot of Medicare Part B claims data to calculate the Alternative Payment Model (APM) ...
The Centers for Medicare and Medicaid Services sent a letter to State Medicaid Directors outlining opportunities for states to design innovative delivery service systems for adults with serious mental illness and children with serious emotional distu...
Today the Centers for Medicare and Medicaid Services (CMS) posted the CY 2019 Physician Fee Schedule (PFS) Final Rule (CMS-1693-F). The PFS is an annual update of the Medicare payment policies and rates for services provided by physicians and a varie...
The Centers for Medicare and Medicaid Services (CMS) is extending the timeframe for submitting feedback on the 2018 field testing of cost measures until Monday, November 5, 2018, at 12:00 pm EDT. The feedback received by the original deadline of this...
QPP Resource Library
The Centers for Medicare and Medicaid Services (CMS) has uploaded a number of new resources to the Quality Payment Program (QPP) Resource Library.
2018 Quality Benchmarks
The Centers for Medicare and Medicaid Services (CMS) has scheduled several Quality Payment Program (QPP) webinars.
Upcoming QPP Webinars
Physician Compare
CMS is hosting a webinar on Physician Compare. Participants will learn ...
On October 18, 2018 the Government Accountability Office (GAO) announced the appointment of two new members to the Physician-Focused Payment Model Technical Advisory Committee (PTAC).
The newly appointed members are Angelo Sinopoli, MD
The Centers for Medicare and Medicaid Services (CMS) is hosting a webinar on patient relationship categories and codes on Wednesday, October 17, 2018. Call participants will receive guidance for c...
The Centers for Medicare and Medicaid Services (CMS) and its contractor, Acumen, LLC, are conducting field testing for 13 cost measures before consideration of their potential use in the cost performance category of the Merit-based Incentive Payment ...
The Centers for Medicare and Medicaid Services (CMS) has updated the Quality Payment Program (QPP) website so individual eligible clinicians who choose to submit their Quality performance category data via claims can access performance feedback for t...
The Centers for Medicare & Medicaid Services (CMS) and its contractor, Acumen, LLC, will conduct field testing in October 2018 for 13 cost measures. These measures will be considered for use in the Cost Performance Category of the Merit-based Inc...
The Centers for Medicare & Medicaid Services (CMS) announced that it has open-sourced the Quality Payment Program (QPP) code responsible for calculating quality measures from Medicare claims data submitted by eligible clinicians via Quality Data ...
The Centers for Medicare & Medicaid Services (CMS) will host a MLN Connects® National Provider Call about Physician Compare on October 30, 2018 at 1:30 – 3:00 PM ET. Registration information will be available ...
The Centers for Medicare & Medicaid Services (CMS) recently opened the annual virtual group election period for the Merit-based Incentive Payment System (MIPS) 2019 Performance Year. To participate in a virtual group, participants must follow a...
On September 21, 2018, the Centers for Medicare and Medicaid Services (CMS) announced the selection of seven applicants to receive cooperative agreement awards through the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Funding Opportuni...
Representative Suzan DelBene (D-WA) is requesting support for a letter that will ask the Centers for Medicare and Medicaid Services (CMS) to adjust the Merit-based Incentive Payment System (MIPS) low-volume threshold in order to include more provider...
UPDATE: CMS statement on the 2017 Performance Feedback Update is available here.
CMS Hosts Webinar on Patient Relationship Categories and Codes
CMS Announces Field Testing of 13 Cost Measures through October 31, 2018
QPP Website Update: 2018 Performance Feedback for MIPS Quality Data Submitted via Claims Now Available
CMS Announces Field Testing of Cost Measures
QPP Developer Resource: CMS Open Sources Code for Developers that Calculates QPP Quality Measures from Claims Data
Save the Date: Physician Compare National Provider Call
CMS Opens Virtual Groups Election Period for MIPS 2019 Performance Year
CMS Awards Funding for Quality Measure Development
Representative DelBene Circulates Dear Colleague Letter on MIPS Low Volume Threshold
UPDATED: CMS Announces “Slight” Adjustments to 2017 Final MIPS Scores
On September 13, 2013, the Centers for Medicare and Medicaid Services (CMS) announced that they made adjustments to some 2017 Merit-bas...
The Centers for Medicare and Medicaid Services (CMS) recently posted an infographic on 2019 Merit-based Incentive Payment System (MIPS) adjustments for the 2017 Performance Year. The document describes the type of payments eligible for adjustment (
The Physician-Focused Technical Advisory Committee (PTAC) met September 6-7, 2018, in Washington, DC, to review four proposed payment models. At the recent meeting, PTAC recommended one model for implementation, two models for limited-scale testing a...
The Centers for Medicare & Medicaid Services (CMS) posted validation criteria for the 2018 Merit-based Incentive Payment System (MIPS) program. CMS is required by statute to provide the criteria used to audit and validate measures and activities ...
The Centers for Medicare and Medicaid Services (CMS) has posted resource documents on the Merit-based Incentive Payment System (MIPS) for anesthesiologists, cardiologists and radiologists. These resources provide an overview of the 2018 MIPS program ...
On September 20, 2018, the Centers for Medicare & Medicaid Services (CMS) is hosting a virtual office hours session on the 2019 MIPS self-nomination process. The purpose of this session is to allow current and potential Qualified Clinical Data Re...
The Centers for Medicare & Medicaid Services (CMS) released the first annual report on the Next Generation Accountable Care Organization (ACO) model. The report provides results from the 18 active Next Gens who participated beginning January 20...
PTAC Recommends Models for Implementation and Limited Scale Testing at September 2018 Meeting
CMS Posts 2018 MIPS Data Validation Criteria
2018 MIPS Resources for Anesthesiologists, Cardiologists and Radiologists Posted on QPP Resource Center
CMS Hosts Virtual Office Hours on the 2019 MIPS Performance Period Self-Nomination Process
CMS Releases Next Gen ACO Model Evaluation
2016 Physician Quality Reporting System Experience Report and the 2018 Value Modifier Experience Report Are Now Available
2016 Physician Quality Reporting System (PQRS) Reporting Experience Report
The 2016 Physician Quality Reporting System (PQRS) Reporting Experience Report is now available. 2016 PQRS reporting impacts 2018 payments under the Medicar...
The Centers for Medicare & Medicaid Services (CMS) posted the 2019 Virtual Groups Toolkit for clinicians interested in virtual group participation for the 2019 Merit-based Incentive Payment System (MIPS) performance year. The toolkit includes a...
The Centers for Medicare & Medicaid Services (CMS) updated the Quality Payment Program Participation Status Tool to include 2018 Advanced Alternative Payment Model (APM) Qualifying Participant (QP) and Merit-based Incentive Payment System (MIPS) ...
2018 Quality Payment Program Exception Applications for the Merit-based Incentive System (MIPS) Promoting Interoperability Performance Category and for Extreme and Uncontrollable Circumstances are now available. Applications are due by December 31, 2...
The Centers for Medicare & Medicaid Services (CMS) is soliciting feedback on the Quality Payment Program (QPP) website. Interested individuals should email the QPP User Research Lead at: emily.kenlaw1@cms.hhs.gov to participate in feedback sess...
As previously reported, the Centers for Medicare & Medicaid Services (CMS) released 2017 Merit-based Incentive Payment System (MIPS) performance feedback. Under the Quality Payment Pr...
The Centers for Medicare & Medicaid Services (CMS) has announced they are hosting several Merit-based Incentive Payment System (MIPS)-related conference calls.
The Centers for Medicare and Medicaid Services (CMS) posted a webpage dedicated to the Medicare Advantage Qualifying Payment Arrangement Incentive (MAQI) demonstration. This demonstration is intended to exempt certain clinicians with sufficient ...
The Centers for Medicare & Medicaid Services (CMS) recently released 2017 Merit-based Incentive Payment System (MIPS) performance feedback. The 2017 MIPS performance feedback, reflecting activities in performance year one of the Q...
On July 12, 2018, the Centers for Medicare and Medicaid Services (CMS) published the CY 2019 Proposed Rule for the Medicare Physician Fee Schedule (PFS). While in previous years regulations for the Quality Payment Program (Q...
On July 3, 2018, five members of the House Republican Doctors Caucus asked CMS Administrator Seema Verma to reduce the number of clinicians excluded from the Merit-Based Incentive Payment System (MIPS) in 2019. The letter states that, due in large...
The Centers for Medicare & Medicaid Services (CMS) released 2017 Merit-based Incentive Payment System (MIPS) performance feedback. Under the Quality Payment Program (QPP), clinicians participating in MIPS will be subject to payment adjustments ba...
Eligible clinicians that submitted 2017 Merit-based Incentive Payment System (MIPS) data through the Quality Payment Program website, can review their preliminary performance feedback. MIPS final scores and feedback will be available in July. MIPS ...
The Centers for Medicare and Medicaid Services (CMS) announced that 91 percent of all clinicians eligible for the Merit-based Incentive Payment System (MIPS) participated in the first year of the Quality Pay...
The Centers for Medicare & Medicaid Services (CMS) released a final rule containing technical corrections to the Quality Payment Program (QPP). The rule corrects technical errors in the November 16, 2017 QPP final rule. For more information on...
The Centers for Medicare and Medicaid Services (CMS) is hosting a two-part webinar series that covers an introduction to quality measures, overview of the measure development process, how the public can get involved, and the new Meaningful Measures i...
The Centers for Medicare & Medicaid Services (CMS) is conducting the 2018 Burdens Associated with Reporting Quality Measures Study. CMS is conducting this study to:
The American Medical Association (AMA) and the American Society of Addiction Medicine (ASAM) are soliciting feedback on a proposed alternative payment model (APM). Participants of the proposed Patient-Centered Opioid Addiction Treatment (P-COAT) APM ...
The Centers for Medicare and Medicaid Services (CMS) updated their MIPS Participation Tool for the 2018 MIPS program. By entering a National Provider Identification (NPI) number, clinicians can determine if they are eligible to participate in the 2...
The Oncology Care Model (OCM) team will be hosting a public forum for stakeholders on Thursday, May 3 from 1:00 p.m. – 4:00 pm EDT. All interested OCM stakeholders are invited to attend this public meeting, with the goal of hearing feedback abo...
The Centers for Medicare and Medicaid Services (CMS) announced that eligible clinicians participating in the Merit-based Incentive Payment System (MIPS), part of the Quality Payment Program (QPP), now have until Tuesday, April 3, 2018 at 8PM EDT to s...
The Physician-Focused Technical Advisory Committee (PTAC) met March 26-27, 2017, in Washington, DC, to review four proposed payment models. A vote by PTAC results in one of the following decisions directed to the Centers for Medicare and Medicaid Ser...
The Physician-Focused Payment Model Technical Advisory Committee (PTAC) released preliminary review team reports on the following proposals:
The American Medical Association (AMA) recently submitted a letter to the Office of the Inspector General (OIG) to create a safe harbor to facilitate coordinated care and promote well-designed alternative payment models (APMs). While waivers currentl...
U.S. Representatives Mike Kelly (R-PA), Ron Kind (D-WI), Markwayne Mullin (R-OK), and Ami Bera, M.D. (D-CA) announced today the creation of the new bipartisan congressional Health Care Innovation Caucus. The group will seek to promote payment models ...
On Thursday, March 15, 2018, the Medicare Payment Advisory Commission (MedPAC) released its semiannual report to Congress with a recommendation to eliminate the Merit-Based Incentive Payment System (MIPS) and replace it with an allegedly less burdens...
There are a number of upcoming key deadlines and milestones for the 2017 Merit-based Incentive Payment System (MIPS). For the 2017 MIPS Performance Period and 2019 MIPS Payment Adjustment Year, MIPS eligible clinicians can earn payment adjustments of...
CMS is seeking applicants to participate in a study on the burdens associated with reporting quality measures. MIPS eligible clinicians participating in MIPS as individuals or groups are invited to apply. A limited number of clinicians who are not el...
CMS has posted 2017 scores for clinicians who submitted Quality data via claims for the Merit-based Incentive Payment System (MIPS). Clinicians will be able to view their performance scores through the MIPS data submission feature on the CM...
CMS recently announced the process for Medicaid Alternative Payment models (APMs) to be certified as Other Payer Advanced APMs under Medicare’s Quality Payment Program (QPP). Under the Advanced APM track of the QPP, eligible clinicians who meet eit...
The Merit-based Incentive Payment System: Annual Call for Measures and Activities Webinar
CMS released eight episode-based cost measures that were developed with stakeholder input through the Technical Expert Panel (TEP) and Clinical Subcommittee processes. The Medicare Access and Children’s Health Insurance Program Reauthorization Act ...
A collection of 109 organizations representing providers and patients submitted a letter urging Congress to block CMS from applying the Merit-based Incentive Payment System (MIPS) adjustment to Part B drug payments. In the 2018 Quality Payment Progr...
On Thursday, January 11, 2018, the Medicare Payment Advisory Commission (MedPAC) recommended eliminating the Merit-based Incentive Payment System (MIPS) and its related reporting requirements and replacing it with a voluntary value program. Under the...
Submissions of recommendations for a new specialty measure set and/or revisions to the current 2018 specialty measure sets should be sent to the PIMMS Quality Measures Support mailbox at PIMMSQualityMeasuresSupport@gdit.com. Submissions of recommen...
CMS Measures Inventory Tool (CMIT) and the CMS Measures Inventory: Updates to the System and the Data
The Centers for Medicare and Medicaid Services (CMS) announced that eligible clinicians participating in the Quality Payment Program (QPP) can begin submitting their 2017 performance data using a new data submission system on the QPP website. Eligib...
The Centers for Medicare and Medicaid Services (CMS) recently posted the lists of approved Qualified Registries and Qualified Clinical Data Registries (QCDRs) for 2018:
These resources include:
The Physician-Focused Technical Advisory Committee (PTAC) met December 18-20, 2017, in Washington, DC, to review seven proposed payment models. A vote by PTAC results in one of the following decisions directed to CMS:
The Office of the Inspector General (OIG) recently released a follow-up report to a 2016 early implementation review of the Quality Payment Program (QPP). In 2016 the OIG identified two vulnerabilities:
At the December 7, 2017, meeting of the Medicare Payment Advisory Commission (MedPAC), commissioners considered the following draft recommendation to repeal the Merit-based Incentive Payment System (MIPS): The Congress should eliminate the curre...
As required by statute, on November 30, 2017, the Centers for Medicare and Medicaid Services (CMS) released a list of quality measures that are under consideration for Medicare quality reporting and value-based purchasing programs. Of the 32 measures...
The Centers for Medicare and Medicaid Services (CMS) contracted with Health Services Advisory Group, Inc. to develop and update the CMS Quality Measure Development Plan: Supporting the Transition to the Merit-based Incentive Payment Sys...
In the 2018 Quality Payment Program Final Rule, CMS clarified that the Merit-based Incentive Payment System (MIPS) payment adjustment will be applied to payments for both items and services under Medicare Part B, including Part B drugs. This is a dep...
On Thursday, November 30, 2017, CMS released the final rule and interim final rule to implement changes to the Comprehensive Joint Replacement Program (CJR). This rule also cancels the Episode Payment Models and the Cardiac Rehabilitation Incentive...
The Physician-Focused Payment Model Technical Advisory Committee (PTAC) released preliminary review team reports on seven proposals. PTAC assigns a preliminary review committee to each proposal. This team of reviewers assesses each proposal based on ...
A handy resource tool to help you navigate the major changes in the 2018 MIPS program – MIPS Comparison Table: CY 2018 Final Rule vs CY 2017 Final Rule was just released by McDermott+Consulting. The document highlights the most significant chang...
The Physician-Focused Payment Model Technical Advisory Committee (PTAC) is soliciting comments until November 30, 2017 on two new physician-focused payment models (PFPMs):
PTAC Solicits Comments on Two New Proposals The Physician-Focused Payment Model Technical Advisory Committee (PTAC) is soliciting comments until November 20, 2017 on two new physician-focused payment models (PFPMs):
On November 3, 2017, the Innovation Center released Report to Congress: Episodic Alternative Payment Model for Radiation Therapy Services. Section 3(b) of the Patient Access and Medicare Protection Act (PAMPA) (P.L. 114-115) directs the Sec...
On October 30, 2017 the Learning & Action Network (LAN) released a report showing that 29% of total U.S. health care payments were tied to alternative payment models (APMs) in 2016 compared to 23% in 2015, an increase of six percentage points. T...
Register Today for a Live Webinar – Overview and Analysis of the CY 2018 QPP Final Rule Thursday November 16, 2017 12:30 – 1:45 PM ET Click here to register On November 2, 2017 the...
The Medicare Payment Advisory Commission (MedPAC) posted its agenda for the November 2-3, 2017, public meeting in Washington, DC. MedPAC is scheduled to continue its discussion from the September 2017 meeting on potential alternatives to the Merit-ba...
The Centers for Medicare and Medicaid Services (CMS) is collaborating with CAPG to host a webinar series on the Quality Payment Program (QPP). Webinar presenters will include experts from both CMS and CAPG. CAPG is a professional association for acco...
The Centers for Medicare and Medicaid Services (CMS) has posted an interactive tool where 2017 Advanced APM participants can look up their QP status based on calculations from claims with dates of service between 1/1/17 and 3/31/17 for the first QP s...
The Centers for Medicare & Medicaid Services (CMS) and its contractor, Acumen, LLC, will be conducting field testing for eight episode-based cost measures before consideration of their potential use in the Cost Performance Category of the Merit-b...
The election period is now open to form a virtual group for the 2018 Merit-based Incentive Payment System (MIPS) Performance Period. The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 allows for the voluntary establishment of virtual gr...
MedPAC proposes to eliminate MIPS and its related reporting requirements. MIPS would be replaced by a voluntary value program. Under the proposed model all clinicians would have a portion of fee schedule payments withheld. Clinicians then could:
The Physician-Focused Payment Model Technical Advisory Committee (PTAC) is soliciting comments until October 6, 2017, on an Intensive Care Management in Skilled Nursing Facility Alternative Payment Model. The model was submitted by Avera Health. Th...
On September 20, 2017, the CMS Innovation Center issued a Request for Information (RFI) seeking feedback on the future direction for the Center’s efforts. The RFI is available here. Congress created the Innovation Center in 2010 to test n...
The Health Care Payment Learning & Action Network (LAN) is hosting their 2017 Fall Summit, Aligning for Action, on Monday, October 30 in Arlington, VA. Topics scheduled to be addressed at the meeting include:
The Centers for Medicare and Medicaid Services (CMS) recently posted new resources on the Quality Payment Program (QPP) Resource Center. These resources include:
Secretary Responds to Proposals The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) established the Physician-Focused Payment Model Technical Advisory Committee (PTAC) to review and assess physician-focused payment mode...
Improvement Activities – How to Select Measures and Position Your Organization for APMs
The Physician-Focused Payment Model Technical Advisory Committee (PTAC) released preliminary review team reports on the following proposals:
The Centers for Medicare and Medicaid Services (CMS) will host office hours on the Quality Payment Program (QPP) Year 2 Proposed Rule on Wednesday, August 16, 2017 from 12:00 noon – 1:00 PM ET. CMS will provide a brief overview of the QPP and addre...
The Physician-Focused Payment Model Technical Advisory Committee (PTAC) is soliciting comments until August 8, 2017, on a model for Initial Therapy of Newly Diagnosed Organ-Confined Prostate Cancer. The model was submitted by the Large Urology Group ...
Under the Quality Payment Program (QPP), certain categories of clinician or groups (e.g. small practices, hospital-based) are granted special status. This special status may afford them certain accommodations under the Merit-based Incentive Payment S...
On June 30, 2017, the CY 2018 Updates to the Quality Payment Program (QPP) Proposed Rule was published in the Federal Register. Unfortunately, it was published with a very limited table of contents (TOC). McDermottPlus created a TOC of the 2018 QPP P...
Scheduled for Tuesday, July 18, from 2:00 to 3:30 pm ET
On Tuesday, July 18th at 2:00 p.m. EDT, the Centers for Medicare and Medicaid Services Innovation Center will host a webinar on the Medicare Quality Payment P...
The Physician-Focused Technical Advisory Committee (PTAC) is accepting comments until August 1, 2017, on the Medicare Three-Year Value Based Payment Plan alternative payment model. This model will allow Medicare beneficiaries to choose innovative rei...
A bipartisan Congressional letter was sent to Health and Human Services Secretary Tom Price and Centers for Medicare and Medicaid Services Administrator Seema Verma urging recognition of certain Medicare Advantage contracts for purposes of qualifying...
The Health Care Payment Learning & Action Network (LAN) released an updated Alternative Payment Model (APM) Framework document. The APM Framework White Paper defines alternative payment model categories and establishes a common set of conventio...
McDermottPlus is pleased to provide an analysis of the Merit-based Incentive Payment System (MIPS)-related proposals in the recently released 2018 Quality Payment Program (QPP) (MACRA) Proposed Rule. The analysis, comparing 2018 proposed to 2017 fina...
The Physician-Focused Payment Model Technical Advisory Committee (PTAC) is soliciting comments until July 20, 2017, on a model for a Single Bundled Payment for Comprehensive Low-Risk Maternity and Newborn Care Provided by Independent Midwife Led...
The Centers for Medicare and Medicaid Services (CMS) has contracted with Yale New Haven Health Services Corporation Center for Outcomes Research and Evaluation (CORE) to adapt claims-based hospital measures to assess the quality of ca...
On June 26th, 2017, the Centers for Medicare and Medicaid Services (CMS) hosted a listening session on the CY 2018 Quality Payment Program (MACRA) Proposed Rule. Slides from this listening session are available here. CMS also recently poste...
The Centers for Medicare and Medicaid Services will host a listening session on the Quality Payment Program QPP (MACRA) Year 2 Proposed Rule on Wednesday, July 5, 2017 from 2:00 – 3:30 PM ET. The listening session is an opportunity ...
On June 15, 2017, the Centers for Medicare and Medicaid Services (CMS) posted the Measure Development Plan (MDP) 2017 Annual Report. The annual publication of the MDP is mandated by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). It...
If you were unable to join us for the live broadcast, an on-demand recording is now available. Click here to access to the video. (Please note – you will still be asked to register to view the recording.) Click here to access the program materi...
The Centers for Medicare and Medicaid Services (CMS) recently posted two new fact sheets to their website on the Quality Payment Program (QPP) – Year 1.
Thursday, June 29, 2017 12:30 – 1:30 pm ET Click here to register Now that the CY2018 Quality Payment Program Proposed Rule has been released, join McDermott+Consulting as we break down major pr...
On June 20, 2017, the Centers for Medicare and Medicaid Services (CMS) posted the 2018 Quality Payment Program (QPP) Proposed Rule (CMS-5522-P). Established through the Medicare Access and CHIP Reauthorization Act (MACRA), the QPP established two tra...
On June 15, 2017, the Medicare Payment Advisory Commission (MedPAC) released its June 2017 Report to Congress. As part of its mandate from the Congress, each June MedPAC reports on issues affecting the Medicare program as well as broader changes in h...
The Centers for Medicare and Medicaid Services (CMS) has indicated that a programmatic goal is to provide clear communication around clinicians’ Advanced Alternative Payment Model Qualifying Participant (QP) status. In support of this goal,...
The Physician-Focused Payment Model Technical Advisory Committee (PTAC) submitted comments and recommendations to the Secretary of the Department of Health and Human Services on three proposals for physician-focused payment models that were deliberat...
The Centers for Medicare and Medicaid Services (CMS) recently posted three new fact sheets on the Quality Payment Program (QPP). Medicare Shared Saving Program and the Quality Payment Program for Performance in Year 2017 Affecting Payment in...
The Centers for Medicare and Medicaid Services (CMS) recently sent letters to clinicians informing them if they were required to participate in the Merit-based Incentive Payment System (MIPS) in 2017. Clinicians that bill $30,000 or more in Medicare ...
The Centers for Medicare and Medicaid Services (CMS) is soliciting applications from practices and payers for Round 2 of the Comprehensive Primary Care Plus (CPC+) model. Four regions were selected for Round 2:
The Centers for Medicare and Medicaid Services will host a webinar on Quality Payment Program Participation requirements on Monday, May 22, 2017 from 1:00 – 2:00 PM ET. During this webinar CMS will explain: MIPS participation requirements for indiv...
On May 3, 2017, the Center for Medicare & Medicaid Innovation held a public listening session regarding the development of a report to Congress on an alternative payment model for radiation therapy services. The listening session provided an oppo...
The Centers for Medicare and Medicaid Services (CMS) has announced a funding opportunity to support developing, improving, updating or expanding quality measures for use in the Quality Payment Program under the Merit-Based Incentive Payment System an...
On May 12, 2017, ten organizations submitted a letter to Secretary of Centers for Medicare and Medicaid Services Tom Price urging him to afford physicians and physician groups credit for participation in Medicare Advantage Alternative Payment Models ...
On May 16, 2017, the Health Affairs Blog launched a new topic: Diffusion of Innovation. The focus of the blog topic is how innovations are diffused across health care and will continue over the next year followed by the publication of a theme issue i...
The Physician-Focused Technical Advisory Committee (PTAC) is accepting comments until May 31, 2017, on the Hospital at Home Plus (HAH-Plus) Physician-Focused Payment Model submitted by the Icahn School of Medicine at Mount Sinai. HAH-Plus is an alte...
Clinicians can use their 10-digit National Provider Identification Number to check their 2017 Merit-based Incentive Payment System (MIPS) eligibility on the Quality Payment Program website. Clinicians included in MIPS in 2017, will need to decide wh...
The Centers for Medicare & Medicaid Services (CMS) posted the 2017 annual update for Electronic Clinical Quality Measures (eCQMs). These updated eCQMs are fully specified and may be used to electronically report 2018 clinical quality measure data...
The Physician-Focused Payment Model Technical Advisory Committee (PTAC) will not be holding a public meeting scheduled for June 5-6. The next scheduled meeting is September 7-8, 2017. Established by the Medicare Access and CHIP Reauthorization Act o...
The Physician-Focused Technical Advisory Committee (PTAC) is accepting comments until May 18, 2017, on an Advanced Primary Care Advanced Payment Model (APM) proposal submitted by the American Association for Family Physicians. The...
The Centers for Medicare and Medicaid Services will host a webinar on MIPS Group Reporting on May 11, 2017 from 1:00 – 2:30 PM ET. Registration information is available here. More information about the Quality Payment Program is ...
The Centers for Medicare and Medicaid Services (CMS) just announced that practices will be receiving letters in late April and May informing them if they need to participate in Merit-based Incentive Payment System (MIPS) in 2017. The letter will come...
The Centers for Medicare and Medicaid Services (CMS) is collaborating with CAPG to host a webinar series on the Quality Payment Program (QPP). Webinar presenters will include experts from both CMS and CAPG. The first webinar, which will focu...
The Health Care Payment Learning & Action Network (LAN) is hosting a virtual forum, Aligning for Action, on Monday, May 1, from 1-3:30 PM ET. Planned sessions include:
The Center for Medicare & Medicaid Innovation (CMMI) will hold a public listening session regarding the development of a report to Congress on an alternative payment model for radiation therapy services. The listening session, sch...
The Physician-Focused Technical Advisory Committee (PTAC) met April 10-11, 2017, in Washington, DC, to review three proposed payment models. PTAC recommended two of the models, Project Sonar and the ACS-Brandeis Advanced Alternative Payment Model ...
The American Medical Association (AMA) CPT® Editorial Panel posted the Proposed Agenda for the June 2017 Panel Meeting. Included on the agenda are two MACRA-related coding proposals. Patient Relationship Modifiers: Th...
CMS is hosting a stakeholder feedback opportunity on the Oncology Care Model (OCM) on Thursday, May 11, 2017 from 1:00-4:00 p.m. EDT. All interested OCM stakeholders are invited to attend this public forum, with the goal of hearing feedback about OCM...
On Friday, April 7, 2017, the Physician-Focused Payment Model Technical Advisory Committee (PTAC) released an updated agenda for their April 2017 meeting. Originally four proposals were scheduled to be presented for public comment and final vote. The...
The Centers for Medicare and Medicaid Services (CMS) has contracted with Acumen, LLC to develop episode-based cost measures to be used to implement the Cost Performance Category of the Merit-based Incentive Payment System (MIPS). This Call for Nomin...
The Physician-Focused Payment Model Technical Advisory Committee (PTAC) released preliminary review team reports on the following proposals: ACS-Brandeis Advanced APM, COPD and Asthma Monitoring Project, Project Sonar, and the Comprehensive Colonosco...
CMS is hosting a listening session on episode-based cost measure development for the Merit-based Incentive Payment System (MIPS) from 12:00 – 1:30 PM ET on April 5, 2017. During this listening session, CMS will provide more information on cost meas...
On Tuesday, April 4 at 1:00 PM ET, the Centers for Medicare & Medicaid Services (CMS) will host a webinar to provide more information on the Advancing Care Information performance category of the Merit-based Incentive Payment System (MIPS). Durin...
This week the Centers for Medicare Medicaid Services (CMS) sent the 2018 Quality Payment Program (QPP) Proposed Rule (CMS-5522-P) to the Office of Management of Budget (OMB) for review. Established through the Medicare Access and CHIP Reauthorization...
On March 21, 2017, the American Medical Association and 86 state and specialty medical societies submitted a letter requesting the Centers for Medicare and Medicaid Services (CMS) reduce the administrative burden and provide for hardship exemptions...
CMS is accepting comments until April 24, 2017, on draft episode groups, trigger codes and a proposed framework for cost measures. The Merit-based Incentive Payment System (MIPS) measures clinicians’ performance in four areas: quality, clinical pra...
McDermottPlus Releases PTAC Proposal Tracker During a public meeting on March 13, 2017, the Physician-Focused Payment Model Technical Advisory Committee (PTAC) announced that during its next meeting, scheduled for April 10-11, 2017,...
CMS is seeking volunteers to test the Quality Payment Program website. CMS is seeking comments on the functionality of the current website as well as recommendations for future improvements. Interested Medicare clinicians, practice managers, administ...
On March 2, 2017 the Medicare Payment Advisory Commission (MedPAC) met in Washington DC and discussed alternatives to the Merit-based Incentive Payment System (MIPS), Advanced Alternative Payment Models (APMs) and ways to increase support for primary...
The Medicare Payment Advisory Commission (MedPAC) has placed discussion of the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs) on the agenda for their March 2 meeting scheduled to be held in Washington, DC...
On Monday, February 27, 2017, CMS released a Request for Information (RFI) to collect stakeholder input on the development of pediatric Alternative Payment Models (APMS). The focus of this RFI is on the improvement of quality and reduction in cost fo...
The Physician-Focused Payment Model Technical Advisory Committee (PTAC) recently announced two public meetings scheduled for March 13-14 and April 10-11. Registration information is available here. The Medicare Access and CHIP Reauthorizati...
The Centers for Medicare and Medicaid Services (CMS) opened the submission period of the Annual Call for Measures and Activities for the Merit-Based Incentive Payment System (MIPS) track of the Quality Payment Program. As described in the C...
CMS is hosting a conference call on Tuesday, January 24 from 2:00 to 3:00 PM ET on how to complete the final reporting period for the legacy Medicare quality reporting programs and transitioning to the Merit-based Incentive Payment System (MIPS). &n...
CMS recently posted a variety of MACRA-related educational resources for clinicians, registries, qualified clinical data registries (QCDRs) and EHR vendors to the Quality Payment Program website.
On Tuesday, December 20, 2016 the Centers for Medicare and Medicaid Services (CMS) finalized several new Innovation center models expanding the agency’s footprint in the value based payment model space. While these models are primarily focused on f...
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 f...
Both a standalone TOC and TOC hyperlinked to the Official Federal Register Published Final Rule are available. On November 4, 2016 the Medicare Access and CHIP Reauthorization Act (MACRA) Final Rule was published in the Federal Register. Unfortunate...
The Centers for Medicare and Medicaid Services (CMS) issued the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 Final Rule on October 14, 2016. CMS will host two webinars on the MACRA Final Rule and Quality Payment Program Final Rule ...
On Friday, October 14, 2016, the Centers for Medicare and Medicaid Services (CMS) released the highly anticipated Medicare Access and CHIP Reauthorization Act (MACRA) final rule. The final rule can be downloaded here. McDer...
On October 13, 2016, the Centers for Medicare & Medicaid Services (CMS) announced an 18-month pilot program to reduce the burden of medical record review of clinicians participating in certain Advanced Alternative Payment Models (APMs). CMS uses ...
The Physician-Focused Technical Advisory Committee (PTAC) is accepting comments until October 14, 2016, on a draft Request for Proposals (RFP) for physician-focused payment models (PFPMs) and draft guidance on characteristic of payment models likely ...
The Physician Focused Technical Advisory Committee (PTAC) announced during a recent public meeting that they anticipate accepting proposals for Physician-Focused Payment Models (PFPMs) beginning December 1, 2016. Since it is anticipated that there wi...
On Wednesday, September 14, 2016 the Centers for Medicare & Medicaid Services (CMS) sent the highly anticipated Medicare Access and CHIP Reauthorization Act (MACRA) final rule to the Office of Management a...
On September 8, 2016, the Centers for Medicare & Medicaid Services (CMS) announced updated 2017 MACRA participation options via the CMS blog. The MACRA Proposed Rule released on April 27, 2016, proposed a performance period of January 1-Decembe...
CMS is currently soliciting nominations for technical expert panel members to support the CMS Quality Measure Development Plan (MDP) project. The MDP is mandated by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), which also requir...
The Physician-Focused Payment Model Technical Advisory Committee (PTAC) announced a public meeting for September 16, 2016. Registration information is available here. While a formal agenda has not yet been released, it is anticipated that PTAC will ...
On August 10, 2016, McDermott+Consulting and McDermott, Will & Emery hosted a webcast on the impact of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) statute in reshaping the physician services market and...
On July 25, 2016 the Centers for Medicare and Medicaid Services (CMS) released a Proposed Rule for a new mandatory bundled payment model for cardiac care, an expansion of the Comprehensive Care for Joint Replacement (CJR) model and a Cardiac Rehabili...
The Centers for Medicare & Medicaid Services (CMS) recently posted new MACRA slide decks on the Quality and Resource Use performance categories. These are the latest additions to a series of presentations CMS is releasing on the Medicare Access a...
On Friday, June 10, 2016 the Centers for Medicare & Medicaid Services (CMS) announced funding for the Support and Alignment Networks under the Transforming Clinical Practice Initiative (TCPI). Up to $10 million over the next thre...
On May 24, 2016, the Joint Quality Payment Program Task Force, an advisory board of the Office of the National Coordinator for Health Information Technology (ONC), met to review the Task Force charge and work plan. The Task Force is charged with revi...
On May 11, 2016 the Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs) in Medicare Fee-for-Service (CMS-5517-P) was published in the Federal Register and is available here. This Proposes Rule implements the Medicare Ac...
On May 11, 2016 Andrew Slavitt, Acting Administrator of the Centers for Medicare and Medicaid Services (CMS) provided testimony at a hearing on the implementation of the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 held by the Subcomm...
The newest addition to the catalog of Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 educational slide decks is on the Advancing Care Information (ACI) performance category of the Merit-Based Incentive Payment System (MIPS). The ACI p...
CMS released an initial set of 34 episode groups on October 15, 2015. The agency designated the methodology used to construct these episodes as Method A. Method A was developed to fulfill certain requirements of section 3003 of the Affordable Care Ac...
On May 3, 2016 CMS hosted a webinar providing an overview of the newly established Merit-Based Incentive Payment System (MIPS) and the Advanced Alternative Payment Model (APM) program. The slide deck can be found here. On May 4, 2016 CMS ho...
On May 2, 2016 the Centers for Medicare and Medicaid Services (CMS) announced a competition for the development of a Merit-based Incentive Payment System (MIPS) Mobile Platform to support provider education and outreach. CMS is launching this mobil...
The Centers for Medicare & Medicaid Services (CMS) has sent the proposed rule on the Merit Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs) to the Office of Management and Budget (OMB) for review. The OMB review typical...
The Physician Focused Payment Model Technical Advisory Committee (TAC) met for the first time on Monday, February 1, 2016 in Washington, DC. Established by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), this committee is tasked wit...
The Physician-Focused Payment Model Technical Advisory Committee will hold its first public meeting on February 1, 2016 in Washington, DC. More information on the meeting, including registration information, is available here. The Committe...
On January 12, 2016 the Health Care Payment Learning & Action Network (LAN) released the final Alternative Payment Model (APM) Framework White Paper. The paper defines payment model categories and establishes a common framework and a set of conv...
On November 10, CMS posted a request for comment on episode groups, and clinical criteria and patient characteristics to classify patients into care episode and patient condition groups. CMS developed these episode groups pursuant to section 3003 of ...
On October 9, 2015 the Government Accountability Office (GAO) announced the first appointments to the Physician-Focused Payment Model Technical Advisory Committee. The Medicare Access and CHIP Reauthorization Act of 2015 established this committee to...
Eric Zimmerman discusses the impact the new Merit-Based Incentive Payment System (MIPS) will have on smaller practices: ” the MIPS program, in combination with the incentives for providers to participate in APMs, has the potential to profoundly...
