APMA Measures Included in Proposed Rule for MACRA for 2018

June 20, 2017

CMS released its proposed MACRA Rule for 2018 on Tuesday, June 20. The rule would make changes in the second year of the Quality Payment Program (QPP).

Due to APMA’s efforts and those of our partners, podiatry’s measure set has been included under the proposed New and Modified MIPS Specialty Measure Sets for the 2018 Performance Period, including core measures as agreed upon by Core Quality Measure Collaborative and high-priority measures. (Learn more about the APMA Registry and how this inclusion will benefit you.)

CMS’s goal with the new rule is to simplify the program, especially for small, independent, and rural practices, while ensuring fiscal sustainability and high-quality care within Medicare. Among the updates:

  • Practices with 15 or fewer clinicians can claim exception from Advancing Care Information (ACI) category and that 25 percent shifts to Quality.
  • Exception thresholds were changed to less than or equal to $90,000 in Part B allowable OR fewer than or equal to 200 Part B beneficiaries.
  • Participants can submit via multiple mechanisms within a single performance category.
  • There will still be no Cost category in 2018, and the percentage weightings of the other three categories stay the same.

This proposed rule is now subject to a 60 day comment period.  Sometime after the comment period ends, the final rule will be published. APMA will continue its review of the proposed rule and provide more information, as well as prepare comments to submit to CMS. In the meantime, find out what you need to do today to avoid a MIPS payment penalty in 2019 by watching this short presentation.

For more information about the proposed rule, read a CMS Fact Sheet.

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