June 20, 2017 - Regulatory Alert: Medicare proposes 2018 MIPS and APM changes

21 Jun 2017 6:26 AM | Anonymous
June 20, 2017

Regulatory Alert: Medicare proposes 2018 MIPS and APM changes

Today, the Centers for Medicare & Medicaid Services (CMS) released the proposed rule changing the Merit-Based Incentive Payment System (MIPS) and alternative payment models (APMs) participation options and requirements for 2018. Key provisions of the proposed rule would:
  • Establish MIPS reporting requirements for 2018;
  • Delay the previously-finalized 2018 requirement to upgrade 2014 Certified EHR Technology to the 2015 edition;
  • Increase the low-volume threshold;
  • Delay implementation of the cost component of MIPS;
  • Incorporate the option to use facility-based scoring for facility-based clinicians;
  • Offer the virtual group option for solo and small practices to aggregate their data for a shared MIPS evaluation; and
  • Outline criteria for qualification as a participant in an all-payer APM, beginning in 2019.
MGMA Government Affairs staff are closely reviewing the proposed rule and will provide additional information to members in the coming weeks. The Association will submit detailed comments in response to these proposals to CMS. The agency will be accepting public comments on the proposed rule until Aug. 21, 2017. A link to the proposed rule and additional information is posted on MGMA's MACRA Resource Center.