NEVADA MEDICAL GROUP MANAGEMENT ASSOCIATION

CMS ro exempt Medicare Advantage APM participants for MIPS

11 Jul 2018 8:35 AM | Cathy Herring (Administrator)

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. 

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