CMS ro exempt Medicare Advantage APM participants for MIPS

11 Jul 2018 8:35 AM | Anonymous

Date: July 11, 2018

Currently, physician practices participating in value-based arrangements with Medicare Advantage (MA) plans may be required to simultaneously comply with MIPS in order to avoid a penalty on their Medicare Part B reimbursement. In response to MGMA advocacy urging reduced provider burden and recognition of practice participation in innovative MA alternative payment models (APMs), CMS is developing a demonstration to exempt qualifying practices from MIPS. CMS is also considering counting participation in risk-bearing MA APMs toward the Advanced APM pathway under MACRA beginning in 2018. MGMA will submit feedback in response to CMS’ planned demonstration. 

Nevada MGMA
PO Box 3403, Hamilton, NJ 08619